2017—2021年某三甲医院恶性肿瘤住院病例统计分析
叶丽娴1
广东省农垦中心医院，广东 湛江 524000
第一作者：叶丽娴（1992— ），女，本科，统计师，主要研究方向为医院信息统计研究、病案统计研究。联系电话：13530277523，E-mail：1130674372@qq.com
摘要：目的 通过研究2017—2021年某三甲医院恶性肿瘤住院患者的病例资料，掌握主要的恶性肿瘤疾病构成和变化趋势等情况，为该地区的恶性肿瘤防治工作提供科学参考依据。方法 收集整理某院2017—2021年恶性肿瘤住院患者的病案首页信息，回顾性分析该院恶性肿瘤的疾病构成、顺位结构、年龄和性别分布等。结果 2017—2021年恶性肿瘤住院患者共19198例，男女性别比1.3∶1，50—69岁住院人次占比最高（50.66%），恶性肿瘤病死率为4.96%。疾病顺位排列前5位依次为支气管和肺恶性肿瘤、肝和肝内胆管恶性肿瘤、鼻咽恶性肿瘤、乳房恶性肿瘤、结肠恶性肿瘤。次均住院费用和次均药品费用分别为23711.55元和4851.93元，住院天数均值为13.03天。结论 应针对高危人群和主要恶性肿瘤，制定加强50岁以上重点人群肿瘤综合防治措施，开展早诊治癌症筛查工作，加强医疗费用管控。
关键词：恶性肿瘤；住院患者；疾病构成；病例分析
Statistical analysis of malignant tumor inpatient cases in a Grade A tertiary hospital from 2017 to 2021(https://www.daowen.com)
Ye Lixian
Guangdong Provincial Agricultural Reclamation Central Hospital, Zhanjiang 524000, China
Abstract:Objective To analyze the composition and trend of inpatients with malignant tumors in a hospital from 2017 to 2021, so as to provide reference for the prevention and treatment of malignant tumors in the local area.Methods Data were collected from the first page of medical records of malignant tumor patients from 2017 to 2021.Retrospective analysis was performed on the disease composition, sequence trend, age and sex distribution of malignant tumors.Results Totally 19198 patients with malignant tumor were admitted, and the sex ratio was 1.3 :1.The incidence peak of malignant tumors patients was in the age group of 50-69 years old (50.66%) and the case fatality rate of malignant tumors was 4.96%.The top 5 malignant tumors were lung cancer, liver cancer, nasopharynx cancer, breast cancer, colon cancer.The average medical cost of malignant tumor patients was 23711.55 yuan, the average expenses for medicine was 4851.93 yuan and the average hospitalization days is 13.03 days.Conclusion It should be aimed at high-risk groups and common types of malignant tumors.We should formulate comprehensive prevention and treatment measures for local population with malignant tumors over 50 years old, carry out cancer screening for early diagnosis and treatment and strengthen control over medical costs.
Keywords:Malignant Tumor;Inpatients;Disease Constitution;Case Analysis
近年来，随着社会经济的快速发展，人口老龄化、工业化、城市化进程的加剧，生活方式的改变等原因，恶性肿瘤发病率日益增高，其已成为危害居民健康的主要原因[1]。本文通过回顾性分析某三级甲等医院的恶性肿瘤住院患者的病案首页信息，了解恶性肿瘤患者的疾病构成和发展趋势，为医院提高重点疾病救治能力和学科建设以及为该地区开展恶性肿瘤的健康宣教和防治工作提供参考依据。