2010—2020年广西某三甲医院恶性肿瘤住院死亡病例分析  

An analysis of hospitalized death cases of malignant tumors in a tertiary hospital in Guangxi from 2010 to 2020

作　　者：梁秀妹 陈惟义 马良[3] 陈丽君[1] 龚文锋[3] 余红平 刘颖春 LIANG Xiumei;CHEN Weiyi;MA Liang;CHEN Lijun;GONG Wenfeng;YU Hongping;LIU Yingchun(Office of Disease Process Management,Guangxi Medical University Cancer Hospital;Department of Scientific Research,Guangxi Medical University Cancer Hospital;Department of Hepatobiliary Surgery,Guangxi Medical University Cancer Hospital;Department of Experimental Research,Guangxi Medical University Cancer Hospital;Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor(Guangxi Medical University),Ministry of Education;Guangxi Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor;Key Cultivated Laboratory of Cancer Molecular Medicine of Guangxi Health Commission,Guangxi Medical University Cancer Hospital,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院疾病流程管理办公室,南宁530021 [2]广西医科大学附属肿瘤医院科研科 [3]广西医科大学附属肿瘤医院肝胆外科 [4]广西医科大学附属肿瘤医院实验研究部 [5]区域性高发肿瘤早期防治研究教育部重点实验室(广西医科大学) [6]广西区域性高发肿瘤早期防治研究重点实验室 [7]广西壮族自治区卫生健康委员会肿瘤分子医学重点(培育)实验室(广西医科大学附属肿瘤医院)

出　　处：《中国癌症防治杂志》2023年第6期662-666,共5页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

基　　金：国家自然科学基金项目(81660567);广西自然科学基金(2023GXNSFBA026091);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200923);区域性高发肿瘤早期防治研究教育部重点实验室自主研究课题(GKE⁃ZZ202104)。

摘　　要：目的分析广西某三甲医院恶性肿瘤住院死亡病例的分布特征及死因构成情况,为医院管理和学科建设提供参考。方法基于广西医科大学附属肿瘤医院2010年1月1日—2020年12月31日期间收集的1834例恶性肿瘤住院死亡病例的相关临床信息数据,对恶性肿瘤住院患者的病死率趋势、性别及年龄分布、死因顺位等情况进行分析。结果恶性肿瘤住院患者的病死率呈下降趋势,男性病死率高于女性(χ^(2)=141.487,P<0.001),不同年龄组恶性肿瘤住院患者病死率差异有统计学意义(χ^(2)=389.637,P<0.001),且随年龄的增加而升高。死因顺位前10位依次为肺癌、肝癌、结直肠癌、乳腺癌、胃癌、淋巴瘤、食管癌、鼻咽癌、卵巢癌、胰腺癌。结论医院恶性肿瘤住院患者的病死率逐步下降,其中肺癌、肝癌是主要死亡病种。医院可进一步优化医疗资源配置和加强相关学科建设,以持续提升医疗质量,降低肿瘤病死率。Objective To analyze the distribution characteristics and the causes of hospitalized death cases with malignant tumors in a tertiary hospital,and to provide the reference for hospital management and discipline construction.Methods Based on the clinical information data of 1,834 hospitalized death cases with malignant tumors in Guangxi Medical University Cancer Hospital from January 1,2010 to December 31,2020,the trend of fatality rate,gender and age distribution,and the rank of death in malignant tumors were analyzed.Results The fatality rate of hospitalized patients with malignant tumors showed a decreasing trend,with higher fatality rate in male than in female(χ^(2)=141.487,P<0.001).The fatality rate of hospitalized patients with malignancies in different age groups was statistically significant(χ^(2)=389.637,P<0.001)and increased with age.The top 10 cancer causes of death were lung cancer,liver cancer,colorectal cancer,breast cancer,gastric cancer,lymphoma,oesophageal cancer,nasopharyngeal cancer,ovarian cancer,and pancreatic cancer.Conclusions The fatality rate of hospitalized patients with malignant tumors decrease gradually;lung cancer and liver cancer are the main causes of death diseases.Hospitals need to further optimize the allocation of medical resources,and strengthen the construction of corresponding disciplines,continuously improving the quality of medical treatment and reducing the fatality rate of tumors.

关 键 词：恶性肿瘤 住院患者 死亡病例 死因顺位 

分 类 号：R730.1[医药卫生—肿瘤]