33960例消化系统恶性肿瘤患者疾病结构分析  

Disease Structure Analysis of 33960 Hospitalized Patients with Malignant Tumors of the Digestive System

作　　者：周颖 张启华[1] Zhou Ying;Zhang Qihua(Department of Medical Record Statistics,Ningbo Medical Center Li Huili Hospital,Ningbo 315000,Zhejiang Province,China;不详)

机构地区：[1]宁波市医疗中心李惠利医院病案统计室,浙江省宁波市315000

出　　处：《中国病案》2024年第10期75-78,共4页Chinese Medical Record

基　　金：宁波市科技局软科学项目(2018A10055)。

摘　　要：目的分析消化系统恶性肿瘤患者的疾病结构,为制定有针对性的预防措施、合理配置卫生资源提供参考依据。方法收集2004年1月1日-2023年12月31日宁波市某三甲医院33960例消化系统恶性肿瘤患者的住院病案首页资料,依据国际疾病分类(ICD-10)进行分类,采用对比分析法将病例按出院时间划分为2004年-2013年与2014年-2023年两组,对消化系统恶性肿瘤的疾病结构进行比较分析。结果消化系统恶性肿瘤患者人数总体呈上升趋势,其中结直肠恶性肿瘤增幅最大,2014年-2023年相对于2004年-2013年同比增长114.36%;前三顺位的病种依次为结直肠恶性肿瘤、胃恶性肿瘤与肝和肝内胆管恶性肿瘤;45岁及以上人群是消化系统恶性肿瘤高发人群,占比达93.78%,高发病种以胃恶性肿瘤和结直肠恶性肿瘤为主;男性患者多于女性患者,男女比例2.28:1;男性胃恶性肿瘤构成比位于第1顺位,占比为30.12%,女性则为结直肠恶性肿瘤,占比为37.95%;消化系统恶性肿瘤次均费用呈增长趋势。结论加大对消化系统恶性肿瘤的重视力度,根据该地消化系统恶性肿瘤性别、年龄等结构特点,有针对性地开展早期筛查与健康宣教,进一步降低消化系统恶性肿瘤的发病率。Objectives To analyze the disease structure of malignant tumors of the digestive system in hospitalized cases,in order to provide a reference basis for health departments to formulate targeted preventive measures and allocate health resources rationally.Methods To collect the inpatient case records of 33,960 patients with digestive system malignant tumors from a Three A and Tertiary Hospital in Ningbo from January 1st,2004 to December 31st,2023,and classified them according to the International Classification of Diseases(ICD10).The cases were divided into two groups according to the discharge time:2004-2013 and 2014-2023.The comparative analysis was conducted to compare the disease structure of digestive system malignant tumors.Results The number of patients with malignant tumors of the digestive system had been increasing overall,with the greatest increase in colorectal malignant tumors,up 114.36%from 2014-2023 compared to 2004-2013,with the top three diseases in order being colorectal malignant tumors,gastric malignant tumors,and liver and intrahepatic bile duct malignant tumors.People aged 45 and older were the high-risk population for digestive system malignant tumors,accounting for 93.78%,with the most common types being gastric malignant tumors and colorectal malignant tumors.Men were more likely to be affected than women,with a male-to-female ratio of 2.28:1.The incidence rate of gastric malignant tumors in men ranked first,accounting for 30.12%,while the incidence rate of colorectal malignant tumors in women ranked first,accounting for 37.95%.The average cost of digestive system malignant tumors had been increasing.Conclusions It was imperative to increase the attention given to malignant tumors of the digestive system.Tailored early screening and health education initiatives should be carried out based on the gender,age,and other structural characteristics of malignant tumors of the digestive system in the region,in order to further reduce the incidence rate of malignant tumors of the digestive system.

关 键 词：消化系统恶性肿瘤 住院病例 疾病结构 

分 类 号：R735[医药卫生—肿瘤]