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目的研究福建省新型农村合作医疗(新农合)癌症患者住院分布特征,为防治与卫生资源配置提供参考。方法用SPSS v21软件统计分析福建省2005—2014年新农合住院癌症患者数据库信息。结果福建省10年来新农合癌症住院数呈上升趋势(1 848人次增至120 811人次),年增长率59.1%,其中男性肺癌年增长率66.2%,肠癌达73.4%;女性乳腺癌年增长率高达84.4%;癌症患病平均年龄10年来未见明显年轻化趋势;男性前5位是肺癌、胃癌、食管癌、肠癌和肝癌,高峰年龄在55~59岁;女性依次是乳腺癌、宫颈癌(两者高峰年龄提前到45~49岁)、肠癌、胃癌、肺癌(与男性相同)。9个设区市癌症顺位有些不同。结论福建省新农合10年来癌症住院呈剧烈上升趋势;男女、设区市和年龄组间有点不同;男性应注意预防肺癌与胃癌,女性应注意乳腺癌与宫颈癌;应强调环境、食品与生活行为的综合性防癌措施。
Objective To study the characteristics of inpatient distribution of cancer patients in New Rural Cooperative Medical System (NRCMS) in Fujian Province, and to provide reference for prevention and treatment and health resource allocation. Methods SPSS v21 software was used to analyze the database of cancer patients in NRCMS from 2005 to 2014 in Fujian province. Results In Fujian Province, the number of inpatients with new rural cooperative medical cohorts ten years increased (from 1 848 to 120 811), with an annual growth rate of 59.1%. The annual growth rate of lung cancer in men was 66.2% and that of colorectal cancer was 73.4% The average growth rate of cancer is as high as 84.4%. The average age of cancer has no obvious trend of younger age in 10 years. The top 5 men are lung cancer, gastric cancer, esophageal cancer, colorectal cancer and liver cancer. The peak age is 55-59 years old. , Cervical cancer (both the peak age of 45 to 49 years in advance), bowel cancer, stomach cancer, lung cancer (same as men). There are some differences in the location of cancer in nine districts. Conclusions The incidence of cancer hospitalization in NRCMS in Fujian Province has been on the rise during the past 10 years. There is a slight difference between men and women in setting up districts and cities and age groups. Men should pay attention to prevention of lung cancer and gastric cancer. Women should pay attention to breast cancer and cervical cancer. Comprehensive anti-cancer measures of life behavior.