论文部分内容阅读
目的探讨梅州市人民医院客家人群15年来消化系统恶性肿瘤疾病谱特点,为医院管理及疾病的防治提供参考。方法选择1997年1月1日至2011年12月31日间于梅州市人民医院因原发性消化系统恶性肿瘤第一次住院,籍贯为梅州市、民族为汉族的客家人患者,按照1997-2001年、2002-2006年、2007-2011年三个时间段统计其单病种构成比及顺位变化、死亡构成比及顺位变化。结果1997-2001年、2002-2006年、2007-2011年三个时间段食管、胃、结直肠恶性肿瘤构成比始终居前3位,三种肿瘤构成比总和均超过80%。其中食管恶性肿瘤第二、第三时间段单病种构成比较第一时间分别下降了约8%及12%,与第一时间段相比差异均有统计学意义(P=0.000;P=0.000);而结直肠恶性肿瘤单病种构成比明显上升(P=0.000)。在这3个时间段中,肝恶性肿瘤是导致患者死亡的首位原因,第二、第三时间段差异有统计学意义(P=0.002)。食管恶性肿瘤死亡构成比下降(P=0.015),以第二时间段的死亡构成较第一时间段下降明显(P=0.004)。结论应针对该地区消化系统恶性肿瘤疾病谱的变化,坚持健康教育,合理配置卫生资源。
Objective To investigate the characteristics of digestive system malignant tumors in the Hakka population of Meizhou People’s Hospital for 15 years and provide references for hospital management and disease prevention and treatment. Methods From January 1, 1997 to December 31, 2011 in Meizhou City People’s Hospital for the first time due to primary malignant tumor of the digestive system, native place is Meizhou, Han ethnic Hakka patients, according to the 1997- 2001-2002, 2007-2011 three time period statistics of its single disease composition and rank change, the proportion of death and the change in position. Results The proportions of esophageal, gastric and colorectal malignant tumors in the three periods from 1997 to 2001, 2002-2006 and 2007-2011 were always the top three. The sum of the three tumor proportions was over 80%. Among them, the incidence of single disease in the second and third periods of esophageal malignancies decreased by about 8% and 12% respectively at the first time, which were significantly different from the first period (P = 0.000; P = 0.000 ), While the proportion of single disease in colorectal malignant tumors increased significantly (P = 0.000). During these three time periods, the first cause of death was liver cancer, with a statistically significant difference between the second and third time periods (P = 0.002). The death rate of esophageal malignant tumors decreased (P = 0.015), and the death in the second time period decreased significantly compared with the first time period (P = 0.004). Conclusions should focus on the digestive system malignant tumor disease spectrum changes, adhere to health education, rational allocation of health resources.