2012 - 2017年大连市胃癌住院病例分布状况分析

目的 对2012 - 2017年大连市胃癌住院病例的分布状况进行分析。方法 收集2012 - 2017年大连市符合ICD - 10国际疾病分类标准的胃癌住院患者病历资料，利用Excel 2010和SPSS 22.0分析胃癌住院病例的分布状况。结果 2012 - 2017年胃癌住院病例中，男性13 009例，占72.54%，女性4 925例，占27.46%；男女比例为2.64∶1。6年内该市胃癌住院病例的男女比例分别为2.69∶1，2.65∶1，2.72∶1，2.45∶1，2.77∶1和2.60∶1，不同年份的男女胃癌住院病例的构成差异无统计学意义(χ2 = 5.805，P＞ 0.05)。所有胃癌住院病例中，最小年龄21岁，最大年龄117岁，平均年龄为（66.97±11.66）岁，其中60～70岁年龄组病例数最多，为5 577例，占31.10%，不同年龄段的胃癌住院病例在不同年份差异有统计学意义(χ2 = 112.789，P＜0.05)。胃窦胃癌病例最多，占19.07%，其次是胃大弯和胃小弯，占5.92%，不同胃癌发生部位的病例构成在不同年份差异有统计学意义(χ2 = 79.699，P＜0.05)。结论 该市胃癌住院病例以男性为主，60岁以上人群占74.29%，主要为胃窦胃癌。在胃癌防治过程中，应该加强防癌的健康教育，重点关注高危人群，特别是老年男性人群，加强对胃癌的早期筛查和监测。

Analysis on the distribution of gastric cancer among hospitalized cases in dalian from 2012 to 2017

Objective To analyze the distribution of gastric cancer among hospitalized cases in Dalian from 2012 to 2017. Methods Medical records from hospitalized cases in Dalian from 2012 to 2017 who were satisfied the ICD-10 diagnostic criteria and were diagnosed with gastric cancer were collected. Excel2010 and SPSS 22.0 software was used to analyze the distribution of gastric cancer patients. Results Among gastric cancer patients in Dalian from 2012 to 2017, males were 13 009 cases, accounting for 72.5%; females were 4 925 cases, accounting for 27.46%. The ratio of male to female was 2.64: 1. The ratio of male to female in every year were 2.69:1, 2.65:1, 2.72:1, 2.45:1, 2.77:1 and 2.60:1, respectively. The proportion of patients within different gender significantly differed in different years (χ2=5.805, P>0.05). Among all the hospitalized cases of gastric cancer, the youngest age was 21 years old, the maximum age was 117 years old, and the average age was 66.97 ±11.66 years old. The number of cases in the age group of 60 to 70 years old was the largest(5 577 cases, 31.10%). The proportion of patients within different age groups significantly differed in different years (χ2=112.789, P<0.05). Gastric cancer of antrum was the most common, accounting for 19.07%, followed by great curvature of stomach and small curvature of stomach, accounting for 5.92%. The proportion of patients within different tumor location significantly differed in different years (χ2=79.699, P<0.05). Conclusion The hospitalized cases of gastric cancer in Dalian were mainly males, and people over the age of 60 were accounting for 74.29%. Antrum gastric cancer was the most common among the patients. It indicated that to establish effective prevention and control measures for high risk groups are necessary, especially for elderly men. Early screening and monitoring of gastric cancer are also necessary.