發(fā)布時間：2018-07-27 18:34

【摘要】：目的分析近30年內(nèi)黃石市中心醫(yī)院腫瘤內(nèi)科新發(fā)肺癌患者在性別、年齡、吸煙、病理類型、城鄉(xiāng)分布等發(fā)病特征的變化,為肺癌防治提供臨床資料。方法收集3 819例新發(fā)肺癌患者臨床資料,每10年為一時間段,比較3個10年間肺癌發(fā)病特征的變化。結(jié)果 3個10年間女性肺癌所占比例明顯增加(χ~2=20.724,P0.01)。肺癌患者平均年齡在60歲左右。吸煙者人數(shù)比例在3個10年間均大于60%,差異有統(tǒng)計學意義(χ~2=0.333,P=0.847)。鱗癌所占比例在3個10年間分別是49.65%、46.46%、40.15%,差別有統(tǒng)計學意義(χ~2=20.511,P0.01)。腺癌所占比例分別是35.5%、39.41%、46.78%,差別有統(tǒng)計學意義(χ~2=170.494,P0.01)。初診合并有惡性胸水患者明顯增加(χ~2=52.191,P0.01)。農(nóng)村患者所占比例明顯升高(χ~2=30.507,P0.01)。結(jié)論吸煙作為一個獨立因素,一直影響黃石市近30年來肺癌發(fā)病。女性肺癌患者、肺腺癌患者、農(nóng)村肺癌患者所占比例明顯增加,初診合并惡性胸水患者增加,這些特點為本地區(qū)肺癌防治計劃提供重要依據(jù)。
[Abstract]:Objective to analyze the changes in sex, age, smoking, pathological type, urban and rural distribution of newly diagnosed lung cancer patients in Department of Oncology, Huangshi Central Hospital in recent 30 years, and to provide clinical data for the prevention and treatment of lung cancer. Methods the clinical data of 3 819 patients with newly diagnosed lung cancer were collected and compared every 10 years. Results the proportion of female lung cancer increased significantly in the past 10 years (蠂 2 + 20.724 P 0.01). The average age of lung cancer patients was about 60 years old. The proportion of smokers was higher than 60 in 3 10 years, the difference was statistically significant (蠂 2 / 0.333P < 0. 847). The proportion of squamous cell carcinoma in three 10 years was 49.65 and 46.46, respectively. The difference was statistically significant (蠂 ~ 2 + 20.511 / P0.01). The proportion of adenocarcinoma was 39.41 and 46.78, respectively. The difference was statistically significant (蠂 ~ 2 / 170.494 / P0.01). The number of newly diagnosed patients with malignant pleural effusion increased significantly (蠂 2 = 52.191 / P 0.01). The proportion of patients in rural areas increased significantly (蠂 ~ (2 +) 30.507, P 0.01). Conclusion as an independent factor, smoking has always affected the incidence of lung cancer in Huangshi City in recent 30 years. The proportion of female lung cancer patients, lung adenocarcinoma patients and rural lung cancer patients increased significantly, and the number of newly diagnosed patients with malignant pleural effusion increased. These characteristics provide an important basis for the prevention and treatment plan of lung cancer in this area.
【作者單位】： 鄂東醫(yī)療集團黃石市中心醫(yī)院胸部腫瘤內(nèi)科;
【基金】：湖北省衛(wèi)生計生委科研基金(WJ2015MB278)
【分類號】：R181.3;R734.2

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