本文選題：壯族 + 肺癌�。� 參考：《廣西醫(yī)科大學》2017年碩士論文

【摘要】：目的:本研究利用廣西醫(yī)科大學第一附屬醫(yī)院壯族肺癌患者住院資料,系統(tǒng)回顧2011年-2015年期間壯族肺癌患者的臨床特征,從而為更好的預防和控制壯族肺癌提供科學依據(jù)。方法:以查閱病歷的方式回顧性分析我院2011年1月至2015年12月期間的壯族肺癌患者的住院資料,按首次確診時患者的男女比例、年齡構成比、地區(qū)分布(農村、城市)、危險因素(吸煙、飲酒、腫瘤家族史)、病理類型、病理類型確診方式、臨床分期等進行統(tǒng)計分析。本文數(shù)據(jù)使用SPSS17.0統(tǒng)計軟件進行統(tǒng)計分析。結果:(1)排除重復統(tǒng)計及不完整的病例,2011年至2015年期間我院共收治確診壯族肺癌病例1284份。(2)5年來我院住院壯族肺癌患者人數(shù)逐年增加,年平均增長率為19.78%,男女患者人數(shù)分別為800例、424例。男性壯族肺癌患者人數(shù)明顯高于女性。(3)肺癌的高發(fā)年齡段為40~60歲,占總肺癌人數(shù)的54.05%;其次為60~80歲,占比為37.62%。(4)肺癌的病理類型中以腺癌及鱗癌為主,分別占66.51%、21.11%;男女患者腺癌構成比分別為60.35%、79.01%,女性腺癌構成比高于男性(P0.05);男女患者鱗癌構成比分別為26.05%、11.08%,男性患者鱗癌構成比高于女性(P0.05)。(5)男性患者有長期吸煙或飲酒不良嗜好者占75.00%,女性患者無吸煙飲酒不良嗜好者占97.88%。(6)纖支鏡為病理組織取材的主要方式,占43.61%,其次為手術,占30.14%。(7)首次就診時,晚期(Ⅲb期、Ⅳ期)肺癌患者占65.11%,各病理類型肺癌臨床分期占比差異有統(tǒng)計學意義(P0.05)。(8)壯族肺癌發(fā)病率農村比城市高,農村與城市患者人數(shù)比為2.40:1。結論:壯族肺癌患者人數(shù)逐年增加。農村地區(qū)、吸煙者及40-60歲男性是肺癌的高危人群,應加強對高危人群的防治。肺腺癌是壯族肺癌最常見的病理類型,大部分患者就診時就屬于晚期,纖支鏡是確診肺癌病理類型的主要手段。
[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，

本文編號：1974176