广西医科大学第一附属医院2011—2015年1284例壮族肺癌患者临床特征分析

发布时间：2018-06-03 21:04

  本文选题：壮族 + 肺癌　； 参考：《广西医科大学》2017年硕士论文

【摘要】：目的:本研究利用广西医科大学第一附属医院壮族肺癌患者住院资料,系统回顾2011年-2015年期间壮族肺癌患者的临床特征,从而为更好的预防和控制壮族肺癌提供科学依据。方法:以查阅病历的方式回顾性分析我院2011年1月至2015年12月期间的壮族肺癌患者的住院资料,按首次确诊时患者的男女比例、年龄构成比、地区分布(农村、城市)、危险因素(吸烟、饮酒、肿瘤家族史)、病理类型、病理类型确诊方式、临床分期等进行统计分析。本文数据使用SPSS17.0统计软件进行统计分析。结果:(1)排除重复统计及不完整的病例,2011年至2015年期间我院共收治确诊壮族肺癌病例1284份。(2)5年来我院住院壮族肺癌患者人数逐年增加,年平均增长率为19.78%,男女患者人数分别为800例、424例。男性壮族肺癌患者人数明显高于女性。(3)肺癌的高发年龄段为40~60岁,占总肺癌人数的54.05%;其次为60~80岁,占比为37.62%。(4)肺癌的病理类型中以腺癌及鳞癌为主,分别占66.51%、21.11%;男女患者腺癌构成比分别为60.35%、79.01%,女性腺癌构成比高于男性(P0.05);男女患者鳞癌构成比分别为26.05%、11.08%,男性患者鳞癌构成比高于女性(P0.05)。(5)男性患者有长期吸烟或饮酒不良嗜好者占75.00%,女性患者无吸烟饮酒不良嗜好者占97.88%。(6)纤支镜为病理组织取材的主要方式,占43.61%,其次为手术,占30.14%。(7)首次就诊时,晚期(Ⅲb期、Ⅳ期)肺癌患者占65.11%,各病理类型肺癌临床分期占比差异有统计学意义(P0.05)。(8)壮族肺癌发病率农村比城市高,农村与城市患者人数比为2.40:1。结论:壮族肺癌患者人数逐年增加。农村地区、吸烟者及40-60岁男性是肺癌的高危人群,应加强对高危人群的防治。肺腺癌是壮族肺癌最常见的病理类型,大部分患者就诊时就属于晚期,纤支镜是确诊肺癌病理类型的主要手段。
[Abstract]:Objective: to systematically review the clinical characteristics of Zhuang lung cancer patients in the first affiliated Hospital of Guangxi Medical University from 2011 to 2015, so as to provide a scientific basis for better prevention and control of Zhuang lung cancer. Methods: the hospitalized data of Zhuang nationality lung cancer patients from January 2011 to December 2015 were analyzed retrospectively, according to the ratio of male and female, age ratio and distribution in rural areas. The risk factors (smoking, drinking, family history of tumor, diagnosis of pathological type, clinical stage, etc.) were statistically analyzed. The data of this paper are analyzed by SPSS17.0 statistical software. Results (1) excluding repeated statistics and incomplete cases, 1284 confirmed cases of Zhuang lung cancer were admitted in our hospital from 2011 to 2015. The number of hospitalized Zhuang lung cancer patients in our hospital increased year by year in the past 5 years. The average annual growth rate was 19.78 and the number of male and female patients was 424. The number of male Zhuang patients with lung cancer was significantly higher than that of females.) the high incidence of lung cancer was 40 to 60 years old, accounting for 54.05% of the total number of lung cancer, followed by 600 to 80 years old, accounting for 37.62% of the pathological types of lung cancer. The ratio of male to female patients with adenocarcinoma was 60.35 and 79.01, respectively. The ratio of female to male was higher than that of male. The ratio of male and female patients with squamous cell carcinoma was 26.05 and 11.08, respectively. The ratio of male patients with squamous cell carcinoma was higher than that of female patients with chronic smoking or drinking. The proportion of addicts was 75.00 and that of female patients who had no smoking and drinking habits was 97.88. 6) Fiberoptic bronchoscopy was the main way of selecting materials from pathological tissues. The incidence of lung cancer in the rural areas was higher than that in the urban areas. The incidence of lung cancer in the late stage (stage 鈪，

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