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目的了解2003年-2014年佛山市恶性肿瘤住院死亡的特征和变化趋势,以便更好地开展肿瘤防治工作。方法选取2003年-2014年佛山市区级以上医院恶性肿瘤患者的病案首页资料,进行回顾性分析。结果恶性肿瘤死亡呈上升趋势,每十万常住人口在区以上医院死亡人数从2003年的7.9上升到2014年的9.9(P<0.001),但是病死率有下降趋势(P<0.001)。前五位死因分别为:肺癌、肝癌、结肠癌、白血病和胃癌,合计占61.2%。男性前五位死因为:肺癌、肝癌、结肠癌、鼻咽癌和白血病,合计占67.2%,女性前五位死因分别为:肺癌、乳腺癌、结肠癌、肝癌和白血病,合计占57.1%。结肠癌、乳腺癌和胰腺癌的顺位上升(P<0.05)。结论佛山市肿瘤死因有向发达国家模式转变的趋势,防治工作重点主要是肺癌、肝癌、结肠癌、白血病和胃癌等肿瘤,同时应注意乳腺癌和胰腺癌死亡顺位的上升。
Objective To understand the characteristics and trends of in-hospital mortality of malignant tumors in Foshan City from 2003 to 2014 in order to better carry out cancer prevention and treatment work. Methods A retrospective analysis was made on the first page of medical records of patients with malignant tumors from 2003 to 2014 in Foshan City. As a result, the death rate of malignant tumors was on an upward trend. The number of deaths per 100,000 resident population in hospitals above district level rose from 7.9 in 2003 to 9.9 in 2014 (P <0.001), but the mortality rate showed a downward trend (P <0.001). The top five causes of death were lung cancer, liver cancer, colon cancer, leukemia and gastric cancer, accounting for 61.2% of the total. The top five causes of death in men are lung cancer, liver cancer, colon cancer, nasopharyngeal cancer and leukemia, accounting for 67.2%. The top five causes of death in women are lung cancer, breast cancer, colon cancer, liver cancer and leukemia, accounting for 57.1% of the total. Colorectal cancer, breast cancer and pancreatic cancer increased in the same order (P <0.05). Conclusion The pattern of cancer death in Foshan has been shifted toward a developed country pattern. The focus of prevention and treatment is mainly on cancers such as lung cancer, liver cancer, colon cancer, leukemia and gastric cancer. At the same time, attention should be paid to the rise of deaths in breast cancer and pancreatic cancer.