摘要
目的分析某三甲医院2012年-2016年因恶性肿瘤住院死亡的老年患者疾病构成情况,为制定科学的预防干预策略提供理论依据。方法调取该医院电子病历系统中年龄60周岁及以上因恶性肿瘤死亡的老年患者病例资料,依据国际疾病分类法(ICD-10)对出院主要诊断进行统计分析,并应用帕累托图疾病构成进行分析,统计学检验采用SPSS 25.0完成。结果共收集60周岁及以上老年人1222例。老年人恶性肿瘤住院死亡排名前10位的病种占肿瘤死亡总人数的76.3%,其具体病种依次是支气管和肺恶性肿瘤390(25.3%)、肝和肝内胆管恶性肿瘤99(8.1%)、胃恶性肿瘤95(7.8%)、结肠恶性肿瘤95(7.8%)、胰恶性肿瘤72(5.9%)、直肠恶性肿瘤42(3.4%)、食管恶性肿瘤38(3.1%)、淋巴瘤38(3.1%)、胆道其他和未特指部位的恶性肿瘤35(2.9%)、多发性骨髓瘤和恶性浆细胞肿瘤28(2.3%)。男性和女性恶性肿瘤死因顺位不同。老年男性人群肝和肝内胆管恶性肿瘤在不同年龄段之间的分布随着年龄升高呈下降趋势,存在显著的统计学差异(P<0.05);在老年女性人群中,支气管和肺恶性肿瘤和肝死亡构成比例随着年龄的升高而升高(P<0.05),而肝内胆管恶性肿瘤的死亡构成比例随年龄的升高而下降。结论呼吸道、肝胆管和消化道恶性肿瘤是危害老年人群致死率高的主要病种,是老年人开展肿瘤防治工作的重点;性别和年龄是影响老年人群死因顺位的重要因素,提示我们未来的防控工作应着重加强致死率高的肿瘤普查和健康教育工作,对不同性别和不同年龄段老年人应采取有针对性的防控策略,以切实提高我国老年人群的健康水平。
Objective To analyze the disease composition of hospitalized elderly patients with malignant tumors in a top three hospital from 2012 to 2016,and to provide a theoretical basis for the development of scientific prevention intervention strategies.Methods The elderly patients aged 60 years and older who died of malignant tumors in the hospital’s electronic case system were enrolled.The main discharge diagnosis was statistically analyzed according to the International Classification of Diseases(ICD-10).The disease composition of Paretogram was analyzed,and the statistical test was performed by SPSS25.0.Results A total of 1222 cases aged 60 years and over were collected.The top 10 patients with malignant tumors in the elderly accounted for 76.3%of the total number of tumor deaths.The specific diseases were 390(25.3%)of bronchial and pulmonary malignancies,and 99(8.1%),gastric malignancy95(7.8%),colon malignancy 95(7.8%),pancreatic malignancy 72(5.9%),rectal malignancy 42(3.4%),esophageal malignancy 38(3.1%),lymphoma 38(3.1%),35(2.9%)of malignant tumors in the biliary tract and other unspecified sites,multiple myeloma and malignant plasma cell tumor 28(2.3%).There was a statistically significant difference between the male and female malignant tumors.The distribution of liver and intrahepatic biliary malignant tumors in different age groups decreased with age,and there was a statistically significant difference(P<0.05).In elderly women,bronchial and lung malignant tumors The proportion of liver death and the proportion of liver death increased with age(P<0.05),while the proportion of death composition of intrahepatic biliary malignant tumor decreased with age.Conclusion The respiratory tract,hepatic bile duct and digestive tract tumor areimportant malignant tumors that endanger the mortality rate of the elderly.It is the focus of the elderly to carry out cancer prevention and treatment.Gender and age are important factors affecting the cause of death of the elderly,suggesting that we will be in the future.The prevention and control work should focus on strengthening the cancer screening and health education work with high mortality rate.The targeted prevention and control strategies should be adopted for the elderly of different genders and age groups to effectively improve the health of the elderly in China.
作者
云科
石锋
穆润清
Yun Ke;Shi Feng;Mu Runqing(The First Hospital of China Medical University,Shenyang 110001,Liaoning Province,China)
出处
《中国病案》
2019年第8期55-59,共5页
Chinese Medical Record
关键词
住院
老年患者
恶性肿瘤
死亡疾病谱
帕累托图
Hospitalization
Elderly patients
Malignant tumors
Death disease spectrum
Pareto chart
