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目的:分析广东省某市县级及以上医疗机构网络报告的2013~2015年因恶性肿瘤死亡的病例数据,为相关部门制定医疗机构恶性肿瘤的医疗资源分配方案提供数据支持。方法:收集2013~2015年某市县级及以上医疗机构恶性肿瘤死亡个案信息,死因分类按照国际疾病分类标准(ICD-10)进行编码,应用SPSS16.0软件对死亡资料进行统计分析。结果:2013~2015年广东省某市县级及以上医疗机构网络报告恶性肿瘤死亡病例3 632例,其中男性2 436例,女性1 196例,男女性别比为2.04∶1;患者年龄0~101岁,平均年龄(59.69±16.95)岁。60岁及以上老年人群恶性肿瘤死亡病例数占全部恶性肿瘤死亡病例的52.97%(1 924/3 632)。男性、女性死亡病例也均集中在60岁及以上老年人群,分别占男性和女性恶性肿瘤死亡病例数的54.06%(1 317/2 436)和50.75%(607/1 196)。前10位死因顺位依次为:肺癌、肝癌、结直肠癌、胃癌、白血病、食管癌、鼻咽癌、乳腺癌、胰腺癌、子宫颈癌,占全部恶性肿瘤死亡病例的82.21%。0~岁组恶性肿瘤的主要死因为白血病、脑癌,18~岁组主要死因为肝癌和白血病,40~岁组及65~岁组主要死因为肺癌、肝癌和结直肠癌。结论:肺癌是该市县级及以上医疗机构报告恶性肿瘤死因的首位;肺癌、消化系统恶性肿瘤是县级及以上医疗机构需重点关注的癌种。
Objective: To analyze the data of cases of malignant tumor death from 2013 to 2015 reported by the network of medical institutions at county level and above in a certain city in Guangdong Province, and provide data support for the relevant departments in formulating the medical resource allocation plan of malignant tumors in medical institutions. Methods: Information on the deaths of malignant tumors at county level and above in a city from 2013 to 2015 was collected. The cause of death was classified according to the International Classification of Diseases (ICD-10), and the death data were analyzed by SPSS16.0 software. Results: A total of 3 632 cases of malignant tumor deaths were reported from the network of medical institutions at county level and above in a city of Guangdong Province from 2013 to 2015. There were 2 436 males and 1 196 females with a sex ratio of 2.04:1. The patients were aged 0 to 101 Years old, mean age (59.69 ± 16.95) years old. The number of deaths from malignancies in the elderly population aged 60 and above accounted for 52.97% (1 924/3 632) of the total number of deaths from malignant tumors. Male and female deaths are also concentrated in the elderly population aged 60 and over, accounting for 54.06% (1 317/2 436) and 50.75% (607/1 196) deaths from malignant tumors in both men and women respectively. The top 10 causes of death as follows: lung cancer, liver cancer, colorectal cancer, stomach cancer, leukemia, esophageal cancer, nasopharyngeal cancer, breast cancer, pancreatic cancer, cervical cancer, accounting for 82.21% of all cancer deaths. The main causes of death of malignant tumors in 0 ~ group were leukemia and brain cancer. The main cause of death in 18 ~ group was liver cancer and leukemia. The main causes of death in 40 ~ 65 year old group were lung cancer, liver cancer and colorectal cancer. Conclusion: Lung cancer is the first place in the city where the medical institutions at county level and above report the cause of death of malignant tumor. Lung cancer and digestive system malignant tumor are the cancerous species that need attention in medical institutions at county level and above.