河北医科大学学报

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2007—2016年河北某三甲医院恶性肿瘤患者构成及变化趋势分析

  

  1. 1.河北医科大学第二医院病案室,河北 石家庄 050000;2.河北医科大学第二医院统计室,河北 石家庄 050000;
    3.河北医科大学第二医院医务处,河北 石家庄 050000
  • 出版日期:2019-04-25 发布日期:2019-04-22
  • 作者简介:王炜杰(1969-),女,河北廊坊人,河北医科大学第二医院副主任护师,从事病案管理研究。
  • 基金资助:
    河北省医学科学研究重点课题(20160564)

Analysis of the composition and trend in patients with tumor in a thirdlevel gradeA hospital in Hebei during 2007 to 2016
 

  1. 1.Department of Medical Records Room, the Second Hospitol of Hebei Medical University, Shijiazhuang
    050000, China; 2.Department of Statistical Office, the Second Hospitol of Hebei Medical University,
    Shijiazhuang 050000, China; 3.Department of Medical,the Second Hospitol of
    Hebei Medical University, Shijiazhuang 050000, China
  • Online:2019-04-25 Published:2019-04-22

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗分析2007—2016年间河北某三甲医院住院恶性肿瘤患者的疾病构成比、类型及年龄变化特点,为恶性肿瘤防治提供客观依据。
〖HTH〗方法〖HTSS〗〖KG*2〗收集2007—2016年恶性肿瘤患者,分析恶性肿瘤发病年龄变化、不同性别患者主要恶性肿瘤构成和顺位变化。
〖HTH〗结果〖HTSS〗〖KG*2〗恶性肿瘤患者从2007年的2 397例增加到2016年的6 390例,2016年收治肿瘤患者比2007年增加166.6%,男性和女性患者均有明显升高。恶性肿瘤患者中位年龄为58岁,男性中位年龄为59岁,女性中位年龄为55岁,男性恶性肿瘤患者患病年龄明显高于女性(P<005)。40岁以下恶性肿瘤患者较少,但在40岁以上人群中明显升高,在51~60岁人群中达到最高峰9 980例。男性患者恶性肿瘤前3位依次为肺恶性肿瘤、胃恶性肿瘤和肝恶性肿瘤,增长速度最快的为肺恶性肿瘤,从2007年占男性恶性肿瘤10.4%,增加到2016年13.3%,居男性恶性肿瘤首位。女性患者恶性肿瘤前3位依次为甲状腺恶性肿瘤、乳房恶性肿瘤、肺恶性肿瘤,增长速度最快的为甲状腺恶性肿瘤,从2007年占女性恶性肿瘤4.0%,增加到2016年19.6%,居女性恶性肿瘤首位。2007—2016年肿瘤手术切除率差异有统计学意义(P<005),但并无明显逐年变化趋势(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗2007—2016年恶性肿瘤发病呈逐年上升趋势,中老年人是恶性肿瘤高发人群,高发恶性肿瘤相对集中且病种顺位固定,应有针对性地开展有效预防措施。

关键词: 肿瘤, 疾病构成, 性别分布

Abstract: [Abstract]〓Objective〖HTSS〗〓To analyze the composition ratio, type and age characteristics of malignant tumors in a thirdlevel gradea hospital in Hebei during 2007 to 2016, so as to provide objective basis for the prevention and treatment of malignant tumors.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Malignant tumor patients from 2007 to 2016 were collected to analyze the changes in age of malignant tumor onset, the composition and sequence of major malignant tumors in patients of different genders.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Patients with malignant tumors in our hospital from 2 397 cases in 2007 increased to 6 390 cases in 2016, the number of cancer patients admitted in 2016 was increased by 166.6% compared with 2007, the number of male and female patients was increased significantly. The median age of malignant tumor patients was 58 years old, 59 years old for males and 55 years old for females, and the age of malignant tumor patients in males was significantly higher than that in females(P<005). The number of patients with malignant tumors under 40 years old was less, but it was significantly increased in the population over 40 years old, and reached a peak of 9 980 cases in the population between 51 and 60 years old.The top three cancers for males were lung cancer, gasteic cancer and liver cancer, the fastest growth rate for lung cancer, 10.4% in 2007 increased to 13.3% in 2016, ranking the first male cancer. While the top three cancers for females were thyroid cancer, breast cancer and lung cancer, the fastest growth rate for thyroid cancer, 4.0% in 2007 increased to 19.6% in 2016, ranking the first female cancer.There were statistically significant differences in tumor surgical resection rates in 2007-2016(P<005),however, there was no significant annual change trend(P>005). The number of cancer patients admitted in our hospital has an increasing tendency during nearly ten years, high incidence of malignant tumors in the elderly, the incidence of malignant diseases showed concentration, and disease spectrum was fixed. We should carry out effective preventive measures.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The number of cancer patients admitted in our hospital has an increasing tendency during nearly ten years, high incidence of malignant tumors in the elderly, the incidence of malignant diseases showed concentration, and disease spectrum was fixed. We should carry out effective preventive measures.

Key words: neoplasms, disease constitution, sex distribution