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3971例肺癌患者临床流行病学分析

Clinical epidemiological analysis of 3971 lung cancer patients
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摘要 目的分析肺癌患者的流行病学特征。方法收集2019-2023年3971例肺癌患者的临床资料,分析肺癌患者的总体发病趋势、病理类型、性别、发病年份、发病年龄、职业、户籍地。结果2019-2023年,肺癌患者例数呈增长趋势。所有病理类型中,肺腺癌构成比最高(89.73%)。2019-2023年各年度,肺腺癌构成比均明显高于肺鳞状细胞癌、肺腺鳞癌、大细胞肺癌、小细胞肺癌、其他类型肺癌(罕见类型),差异均有统计学意义(P<0.01)。女性肺癌患者例数是男性的1.36倍,男性、女性肺癌患者例数均随年份的增长呈增加趋势,但女性增速较快;男性以肺腺癌、肺鳞状细胞癌为主,女性以肺腺癌为主。肺癌高发年龄为51~70岁,占54.07%,其中女性高发年龄段为41~50岁、51~60岁,而男性高发年龄段为51~60岁、61~70岁;肺腺癌、其他类型肺癌(罕见类型)高发于51~60岁,肺鳞状细胞癌、大细胞肺癌、小细胞肺癌高发于61~70岁,肺腺鳞癌高发于41~50岁。不同职业的肺癌患者例数均呈现随年份增长而增加的趋势,排前3位的职业依次是职员(12.06%)、农民(8.96%)、工人(6.70%)。不同户籍地肺癌患者例数均呈现随年份增长而增加的趋势,其中广东省外增速最快,其他城市(深圳市外)增速居中,深圳市增速相对较缓(其中2022年有下降趋势);深圳市各个病理类型肺癌患者例数均少于广东省其他城市、广东省外。结论肺癌发病总体呈上升趋势,腺癌占比最高,女性肺癌例数逐年增多(已超越男性)。肺癌发病高危人群为中老年人,但有一定年轻化倾向。 Objective To analyze the epidemiological characteristics of lung cancer.Method The clinical data of 3971 patients with lung cancer from 2019 to 2023 were collected,and the overall incidence trend,pathological type,gender,onset year,onset age,occupation and place of domicile of lung cancer patients were analyzed.Result From 2019 to 2023,the number of lung cancer patients showed an increasing trend.Among all pathological types,the proportion of lung adenocarcinoma was the highest(89.73%).In each year from 2019 to 2023,the proportions of lung adenocarcinoma were significantly higher than those of lung squamous cell carcinoma,lung adenosquamous cell carcinoma,large cell lung cancer,small cell lung cancer,and other types of lung cancer(rare type),and the differences were statistically significant(P<0.01).The number of female lung cancer patients was 1.36 times that of male.The numbers of male and female lung cancer patients showed increasing trends with the increase of years,but the female lung cancer increased faster.The most common age of lung cancer was 51-70 years old,accounting for 54.07%.The most common age of lung cancer was 41-50 years old and 51-60 years old in females,and 51-60 years old and 61-70 years old in males.Lung adenocarcinoma and other types of lung cancer(rare type)were most common in 51-60 years old,lung squamous cell carcinoma,large cell lung cancer,small cell lung cancer were most common in 61-70 years old,and lung adenosquamous cell carcinoma was most common in 41-50 years old.The number of lung cancer patients in different occupations showed increasing trends with the increase of years,and the top three occupations were employees(12.06%),farmers(8.96%),and workers(6.70%).The number of lung cancer patients in different places of domicile showed increasing trends with the increase of years,among which the growth rate was the fastest outside Guangdong province,the growth rate of other cities(outside Shenzhen)was the middle,and the growth rate of Shenzhen was relatively slow(with a decreasing tre
作者 宋亚中 王垲涵 简文静 金宇 张莉 张广路 林洪 岳双冰 范中农 蔡俊媛 陈启庭 卓超林 SONG Yazhong;WANG Kaihan;JIAN Wenjing;JIN Yu;ZHANG Li;ZHANG Guanglu;LIN Hong;YUE Shuangbing;FAN Zhongnong;CAI Junyuan;CHEN Qiting;ZHUO Chaolin(Department of Integrated Chinese and Western Medicine,Shenzhen Second People’s Hospital,Shenzhen 518035,Guangdong,China;Department of General Practice,Minzhi Street Regional Community Health Service Center,the People’s Hospital of Longhua,Shenzhen,Shenzhen 518100,Guangdong,China)
出处 《癌症进展》 2024年第19期2105-2110,2114,共7页 Oncology Progress
基金 广东省自然科学基金(2018A0303100023)。
关键词 肺癌 流行病学 病理类型 性别 发病年龄 职业 户籍地 lung cancer epidemiology pathological type gender onset age occupation place of domicile
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