某院45-59岁住院恶性肿瘤病例统计分析  

Statistical Analysis of Malignant Tumor Cases among Patients Aged 45-59 Years Old in a Certain Hospital

作　　者：吴植茆 顾晓芳[2] 黄豆豆 王竹君 WU Zhimao;GU Xiaofang;HUANG Doudou;WANG Zhujun(Quality Management Office,Nanjing Drum Tower Hospital,Nanjing,Jiangsu,210000;Medical Record Office,Jiangsu Cancer Hospital,Nanjing,Jiangsu,210009;Medical Record Office,Nanjing Hospital of Chinese Medicine,Nanjing,Jiangsu,210001)

机构地区：[1]南京鼓楼医院质量管理办公室,江苏南京210000 [2]江苏省肿瘤医院病案室,江苏南京210009 [3]南京市中医院病案室,江苏南京210001

出　　处：《江苏卫生事业管理》2024年第4期598-602,610,共6页Jiangsu Health System Management

基　　金：2021年度江苏省医院管理创新研究课题(JSYGY-2-2021-286);江苏省肿瘤医院科研项目(ZG202007)。

摘　　要：目的:分析某三甲医院2018年至2022年中年恶性肿瘤住院患者病种构成、年龄及变化趋势,为预防干预该年龄段恶性肿瘤提供依据。方法:通过病案管理系统和SQL语句,采集该医院2018年至2022年45岁至59岁恶性肿瘤住院患者共20097例,依据ICD-10类目分类汇总病种构成,分析年龄、性别分布及疾病变化趋势。结果:45岁至59岁年龄段恶性肿瘤住院患者占恶性肿瘤总住院患者比重呈上升趋势,排名前三位的恶性肿瘤病种为肺癌(17.41%)、甲状腺癌(10.75%)和胃癌(9.33%),前十位病种占比合计达69.62%,女性占比高于男性。多发恶性肿瘤病种随年龄变化有明显差异。结论:2018年至2022年45-59岁年龄段恶性肿瘤发病呈逐年上升趋势,进一步提高对该年龄段恶性肿瘤发病特征的认识,做好预防和诊治工作,是实施健康中国战略的重要环节之一。Objective:To analyze the disease composition,age and change trend of middle-aged inpatients with malignant tumors in a certain grade A tertiary hospital from 2018 to 2022,so as to provide basis for prevention and intervention of malignant tumors in this age group.Methods:A total of 20,097 inpatients with malignant tumors aged 45 to 59 in the hospital from 2018 to 2022 were collected through the medical record management system and SQL statements,according to ICD-10 category classification,the composition of diseases was summarized,and the distribution of age and sex and the change trend of diseases were analyzed.Conclusions:The proportion of malignant tumor inpatients in the total malignant tumor inpatients between 45 and 59 years showed an increasing trend,the top three malignancies were bronchial and lung malignancies(17.41%),thyroid malignancies(10.75%)and gastric malignancies(9.33%),the total proportion of the top ten diseases reached 69.62%,and the proportion of women was higher than that of men.There were significant differences in the types of multiple malignant tumors with age.Results:From 2018 to 2022,the incidence of malignant tumors in the 45-59 age group showed an increasing trend year by year.With the rapid aging of China’s population,further improving the understanding of the characteristics of malignant tumors in this age group,and doing a good job in prevention,diagnosis and treatment are one of the important contents of the implementation of the Healthy China strategy.

关 键 词：恶性肿瘤 发病率 疾病构成 住院病人 ICD-10 

分 类 号：R197.32[医药卫生—卫生事业管理]