2014年-2022年某肿瘤医院初诊食管癌住院患者构成  

Composition of Inpatients with Newly Diagnosed Esophageal Cancer in a Cancer Hospital from 2014 to 2022

作　　者：向明飞[1] 廖洪[1] 方璐 熊中华[1] Xiang Mingfei;Liao Hong;Fang Lu;Xiong Zhonghua(Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Affiliated Cancer Hospital of University of Electronic Science and Technology of China,Chengdu 610041,Sichuan Province,China;不详)

机构地区：[1]四川省肿瘤临床医学研究所,四川省肿瘤医院研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院,四川省成都市610041

出　　处：《中国病案》2024年第5期41-45,共5页Chinese Medical Record

基　　金：四川省卫生信息学会科研项目(XH2020040)。

摘　　要：目的分析某肿瘤医院初诊食管癌住院患者构成情况,为优化食管癌防治资源配置提供参考。方法以国际疾病分类ICD-10类目C15作为检索条件,从某肿瘤医院信息系统中提取出2014年1月1日-2022年12月31日首次住院患者相关信息。根据地址信息统计各省患者数量,四川省各市、县患者数量,基于各市、县常驻人口数计算住院率。借助Excel制作统计图表,FineReport制作患者来源地热力地图,SPSS22.0软件对不同性别、城乡患者的年龄、住院费用进行独立样本T检验,对不同民族年龄进行方差分析。结果初诊食管癌住院患者10045人,来自我国的30个省,其中四川省9557人(95.14%),外省累计488人(4.86%);四川省内的患者来自21个市,其中成都市(2974人,31.12%)和南充市(1542人,16.13%)人数排名前两位,累计占比47.25%;以常住人口数计算住院率,排名前两位的是南充市(0.31‱)和广元市(0.25‱);四川省住院人数排名前10个县累计3386人(35.42%),以常住人口数计算住院率,南部县(0.87‱)、阆中市(0.68‱)、苍溪县(0.52‱)排名前3位。住院患者中男性8319人(82.82%,63.55±8.89岁),女性1726人(17.18%,65.44±9.03岁),男女患者年龄差异具有统计学意义(P<0.01);汉族、藏族、彝族、羌族、回族排名前5位,累计10019人(99.74%),彝族年龄最小(58.61±9.78)岁,回族最大(64.15±7.73)岁,差异具有统计学意义(P<0.01);城乡构成上,年龄、治疗费用差异无统计学意义(P>0.05)。结论在食管癌住院人数集中的地区,应加强诊疗资源投入及早诊断早治疗宣传工作;在住院率集中高发地区,开展癌症筛查工作,探寻食管癌的发病机理。Objectives This study aims to analyze the composition of inpatients newly diagnosed with esophageal cancer in a cancer hospital and to provide a reference for optimizing the allocation of resources for the prevention and treatment of esophageal cancer.Methods Using the International Classification of Diseases ICD-10 category C15 as the search condition,the relevant information of first-time hospitalized patients from January 1,2014 to December 31,2022 was extracted from the information system of a cancer hospital.The number of patients in each province is calculated based on address information,and the number of patients in each city and county in Sichuan Province is calculated.The hospitalization rate is calculated based on the resident population of each city and county.Excel was used to make statistical charts,and FineReport was used to make heat maps of patient origins.SPSS22.0 software was used to conduct independent sample T-tests on the age and hospitalization expenses of patients of different genders,urban and rural areas,and analyzed variance in the age of different ethnic groups.Results There were 10,045 newly diagnosed hospitalized patients with esophageal cancer from 30 provinces in China,including 9,557(95.14%)from Sichuan Province and a total of 488(4.86%)from other provinces.Patients in Sichuan Province came from 21 cities,among which Chengdu City(2974 people,31.12%)and Nanchong City(1542 people,16.13%)ranked the top two,accounting for 47.25%in total.According to the number of permanent residents,Nanchong ranked first(0.31‱)and Guangyuan ranked second(0.25‱).The top 10 counties in Sichuan Province had a total of 3,386 hospitalizations(35.42%).The hospitalization rate was calculated based on the number of permanent residents.Nanbu County(0.87‱),Langzhong City(0.68‱),and Cangxi County(0.52‱)ranked among the top 3.Among the hospitalized patients,8319 were male(82.82%,63.55±8.89 years old)and 1726 were female(17.18%,65.44±9.03 years old).The age difference between male and female patients w

关 键 词：食管癌 地理分布 年龄 民族 城乡 

分 类 号：R735.1[医药卫生—肿瘤] R197.5[医药卫生—临床医学]