| 2005 - 2015年四川省某三甲医院恶性肿瘤住院患者流行病学特征分析 |
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| 引用本文： | 张元,胡锦梁. 2005 - 2015年四川省某三甲医院恶性肿瘤住院患者流行病学特征分析[J]. 现代预防医学, 2016, 0(16): 2905-2908 |
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| 作者姓名： | 张元 胡锦梁 |
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| 作者单位： | 四川省医学科学院四川省人民医院 医学信息中心，四川 成都 610072 |
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| 摘 要： | 目的 分析四川省某三级甲等医院2005 - 2015年间恶性肿瘤住院患者的流行病学特征，为恶性肿瘤病因学研究及防治措施的制定提供科学依据。方法 回顾性分析2005 - 2015年间在四川省某三级甲等医院住院治疗的恶性肿瘤病例及肿瘤住院死亡病例，分析其患病情况、性别、年龄及瘤别分布特征，计算病死率。结果 2005 - 2015年11年间恶性肿瘤住院患者例数呈逐年上升趋势，2015年恶性肿瘤住院患者人数是2005年的3.45倍，恶性肿瘤住院人数的平均年增长率为31.4%。前5位依次为:肺癌(18.2%)、食管癌(12.1%)、宫颈癌(11.7%)、乳腺癌(9.6%)、结直肠癌(8.8%)。住院期间死亡1 813例，病死率为2.15%。男、女病死率随时间呈明显下降趋势(趋势χ2 = 158.259, P ＜0.001)。死亡病例的性别比为2.15∶1；60岁以上老年人群占全部死亡构成的65.91%。男性、女性恶性肿瘤死亡病例均集中在60岁以上老年人群，构成比占全部男性、女性死亡总例数的69.44%和58.34%。前10位死亡的疾病顺位依次为:肺癌、肝癌、结直肠癌、食管癌、胃癌、淋巴瘤、乳腺癌、胰腺癌、卵巢癌、鼻咽癌，占全部死亡病例的80.14%。结论 肿瘤住院患者逐年增加，病死率逐年下降，恶性肿瘤死亡集中在老年人群，肺癌位居恶性肿瘤死因首位，应加强对重点癌种的防治工作，全民开展癌症筛查及早诊早治工作。
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| 关 键 词： | 恶性肿瘤 住院患者 疾病构成 死因 流行病学 |
Analysis of the epidemiological characteristics of hospitalized patients with cancer at an AAA hospital in Sichuan between 2005 and 2015 |
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| ZHANG Yuan,HU Jin-liang. Analysis of the epidemiological characteristics of hospitalized patients with cancer at an AAA hospital in Sichuan between 2005 and 2015[J]. Modern Preventive Medicine, 2016, 0(16): 2905-2908 |
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| Authors: | ZHANG Yuan HU Jin-liang |
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| Affiliation: | Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Medical Information Center, Chengdu, Sichuan 610072, China |
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| Abstract: | Objective The study analyzed the epidemiological characteristics of hospitalized patients with cancer at an AAA hospital in Sichuan between 2005 and 2015, aiming to provide a scientific reference for etiology studies of malignant tumors and development of prevention and control measures against cancers. Methods Hospitalized patients with malignant tumors and cancer death cases at an AAA hospital in Sichuan between 2005 and 2015 were retrospective analyzed for their disease status, gender, age, and tumor distribution. Fatality rate among the cases was also calculated. Results The number of hospitalized cancer patients had been on the rise over 2005 to 2015, and increased by 3.45 times since 2005. The average annual growth rate of cancer inpatients was 31.4%. The top 5 most common malignant tumors among the patients were lung cancer (18.2%), esophageal cancer (12.1%), cervical cancer (11.7%), breast cancer (9.6%), and colorectal cancer (8.8%). 1813 patients died during hospitalization, with a mortality rate of 2.15%. The mortality rate of male and female significantly decreased with time (χ2=158.259, P＜0.001). The male/female death ratio was 2.15:1, and elderly over the age of 60 accounted for 65.91% of all the death cases. Cancer deaths were mostly observed among male and female aged over 60, accounting for 69.44% and 58.34% of all male and female deaths. The top 10 death causing diseases were lung cancer, liver cancer, colorectal cancer, esophageal cancer, gastric cancer, lymphoma, breast cancer, pancreatic cancer, ovarian cancer, and nasopharyngeal cancer, together accounting for 80.14% of all deaths. Conclusion The number of hospitalized cancer patients has been increasing while the mortality has been decreasing year by year. Cancer deaths mainly occur in the elderly population, with lung cancer being the leading cause of death among cancer patients. The prevention and control of key cancers should be strengthened, and nation-wide cancer screening and early diagnosis and treatment of cancer should also be implemented. |
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| Keywords: | Malignant tumor Hospitalized patients Disease constituent Death causes Epidemiology |
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