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目的分析某院首次就诊的卵巢癌住院患者基本特征的动态变化,为优化卵巢癌防治相关卫生资源配置提供指导。方法资料来自于2009年-2014年1543份卵巢癌住院患者的病案首页数据,包括基本人口统计学特征和临床资料等信息,描述各种特征值的变化趋势。结果卵巢癌住院患者的年龄主要分布在41岁~70岁,尤以51岁~60岁者最多;病理类型主要为浆液性癌和未分型癌;74.74%患者的癌症分化程度为未分化/低分化;手术治疗的比例为45.37%;87.04%的患者住院天数≤20天,51.52%的患者住院天数≤10天。卵巢癌住院患者的癌症分化程度(χ~2=4.40,P<0.05)和住院天数(χ~2=7.16,P<0.05)随年份的变化有统计学意义,其他各特征值的变化趋势均无统计学意义。结论未分化/低分化、住院天数为10天及以下的卵巢癌住院患者有逐渐增多的趋势,医院应着重完善对这两类患者的诊断、治疗与护理的一体化服务。
Objective To analyze the dynamic changes of the basic characteristics of inpatients with ovarian cancer who are hospitalized for the first time in a hospital and provide guidance for optimizing the allocation of health resources related to the prevention and treatment of ovarian cancer. Methods Data were collected from 1543 inpatients with ovarian cancer in 2009-2014, including primary demographic data and clinical data, describing the trend of various eigenvalues. Results The age of hospitalized patients with ovarian cancer was mainly in the range of 41-70 years, especially in the group of 51-60 years. The pathological types were mainly serous carcinoma and non-parted carcinoma. The degree of cancer differentiation in 74.74% of patients was undifferentiated / Poorly differentiated; surgical treatment was 45.37%; 87.04% of patients hospitalized days ≤ 20 days, 51.52% of patients hospitalized days ≤ 10 days. The difference of cancer differentiation (χ ~ 2 = 4.40, P <0.05) and length of hospital stay (χ ~ 2 = 7.16, P <0.05) in patients with ovarian cancer was statistically significant with the change of other characteristics No statistical significance. Conclusions Undifferentiated / poorly differentiated hospitalized patients with ovarian cancer with a hospitalization day of 10 days or less have a gradual increase trend. The hospital should focus on improving the integrated services of diagnosis, treatment and nursing for these two types of patients.