2003年~2013年某三甲综合医院肿瘤住院患者病死率及死因分析

目的:分析肿瘤住院患者疾病构成、病死率及主要死因，以期为综合医院的医疗配置提供理论依据。方法:回顾性分析2003至2013年湖北省襄阳市中心医院42 880例肿瘤住院患者及1 645例肿瘤住院死亡患者的临床资料。结果:恶性肿瘤住院患者的前10位疾病构成分别为:肺癌、胃癌、乳腺癌、宫颈癌、结直肠癌、鼻咽癌、食管癌、肝癌、淋巴瘤、卵巢癌，占全部住院患者的79.9%。肿瘤住院患者总病死率为3.84%（1645/42880），病死率呈逐年下降趋势（趋势χ2=263.573，P＜0.001），男性肿瘤患者病死率高于女性（χ2=71.632，P＜0.001）。死因顺位分析显示，前10位死因依次为:肺癌、结直肠癌、肝癌、胃癌、食管癌、胰腺癌、乳腺癌、前列腺癌、鼻咽癌、卵巢癌，占死亡总数的70.84%，肺癌是所有恶性肿瘤死因构成的首位，占33.54%；不同性别有不同的死因顺位。结论:襄阳地区肿瘤住院患者中，肺癌患者的发病率和病死率稳居第一，全部恶性肿瘤死因构成中肺癌占三分之一，应加强对肺癌等重点癌种的防治工作，提高居民的健康水平。

The analysis of case fatality fatality rate rate and death death causes causes of cancer cancer inpatients in a top three general hospitals from 2003 to 2013

Objective:To understand disease constitutestudy,death rate and the,main death causes of cancer inpa-tients. Methods:To Rretrospectively analysis analyze the clinical data of 42 880 cancer inpatients and 1 645 cancer death inpatients from 2003 to 2013 in Xiangyang Center Hospital. Results:From 2003 to 2013 in patients with malig-nant tumor in the top 10 disease types were:Lung cancer,gastric cancer,breast cancer,cervical cancer,colorectal cancer,nasopharyngeal cancer,esophageal cancer,liver cancer,lymphoma,ovarian cancer,accounting for 79. 9% of all malignant tumor patients. Tumor patients in hospital with the overall mortality rate was 3. 84%(1645 / 42880), mortality decreased year by year(χ2 = 263. 573,P < 0. 001),the male elderly patients with cancer mortality was high-er than females(χ2 = 71. 632,P < 0. 001). Rank order analysis revealed,10 major causes of death were:. Llung canc-er,colorectal cancer,liver cancer,gastric cancer,esophageal cancer,pancreatic cancer,breast cancer,prostate cancer, nasopharyngeal cancer,ovarian cancer,accounting for 70. 84% of the total number of deaths,lung cancer is the malig-nant tumor of the death causes of the first of all,accounted for 33. 54% . different gender,different ages there are dif-ferent rank order. Conclusion:The incidence and mortality rate of tumor patients in lung cancer were ranked first inXiangyang area,the cause of death in all the malignant tumor of lung cancer accounted for 1 / 3,We should strengthen the lung cancer prevention and control of key species,improve the health of residents.