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目的通过分析不同类型恶性肿瘤住院次数与远期生存率的关系,了解不同类型恶性肿瘤住院规律。方法以某三甲医院2014年至2015年157,203份住院病案为统计资料,调阅重复住院肿瘤患者前8位恶性肿瘤共计3185例患者。利用Excell2007透视表,采用非参数检验分析不同类型恶性肿瘤住院次数,并根据计算出的住院次数秩均值顺次与肿瘤5年生存率对比。结果不同类型恶性肿瘤住院次数具有统计学意义(P<0.05)。其中前三位为支气管和肺恶性肿瘤1109例(34.82%),乳房恶性肿瘤592例(18.59%),胃恶性肿瘤548例(17.21%);将恶性肿瘤5年生存率与住院次数秩次排序进行相关性检验(不包括甲状腺恶性肿瘤),r=0.928,P=0.003,可认为恶性肿瘤5年生存率与住院次数之间呈明显的正相关关系。结论不同恶性肿瘤类型患者之间住院次数存在差异,并与远期生存率具有关联,临床医师需要正确引导患者就医意愿。
Objective To analyze the relationship between hospitalization frequency and long-term survival rate of different types of malignant tumors so as to understand the law of hospitalization of different types of malignant tumors. Methods According to 157,203 inpatient medical records in a top-tier hospital from 2014 to 2015, 3185 patients with the first eight malignant tumors in the repeat hospitalized patients were referred. The use of Excell2007 Pivotal Table, using non-parametric test analysis of different types of cancer hospitalizations, and calculated according to the number of hospital rankings sequentially with the 5-year survival rate of cancer contrast. Results The number of hospitalizations of different types of malignant tumors was statistically significant (P <0.05). Among them, the top three were 1109 cases (34.82%) of bronchial and pulmonary malignancies, 592 cases (18.59%) of malignant tumors of breast and 548 cases (17.21%) of gastric malignant tumors. The 5-year survival rate and hospitalization rank of malignant tumors Correlation test (excluding thyroid malignancies), r = 0.928, P = 0.003, can be considered malignant tumor 5-year survival rate and the number of hospitalizations was significantly positive correlation. Conclusion There are differences in the number of hospitalizations among patients with different types of malignancies and is associated with long-term survival rates. Clinicians need to correctly guide patients’ medical wishes.