CAJ | 학술논문

目的报告田湾核电站周围地区居民恶性肿瘤登记系统的建立、运行模式及效果.方法从2003年9月开始,连云港市逐步建立了覆盖田湾核电站周围50 km范围内3区3县412万居民的恶性肿瘤登记系统,登记系统主要由医疗机构主动报告辅以县区疾控机构主动搜索和覆盖全部乡村的基层报告网络组成.分析了2004至2008年该系统报告的肿瘤发病率,并对2008年该系统运行状况(报告途径、病例就诊医疗机构分布、病例就诊方式、确诊医院的级别及资料质量等)进行分析,以评价运行效果.结果登记系统由2家三级甲等医院、16家二级医院、6家县区级疾控中心和1121个村级报告网络组成.2004至2008年系统报告发病率有升高趋势,漏报率不断下降.2008年全市居民恶性肿瘤信息主要来源于医疗机构(78.94%)和基层网络报告(18.98%),以本市医疗机构诊断为主(95.10%),住院诊断是主要就诊方式(81.3l%),确诊医院的级别主要为县及县以上医疗机构(99.42%).病理诊断率为64.30%,且农村和城市诊断依据有所不同.结论该系统采用了符合当地实际情况、因地置宜的报告模式,目前已能规范化运行.
목적 보고전만핵전참주위지구거민악성종류등기계통적건립、운행모식급효과.방법 종2003년9월개시,련운항시축보건립료복개전만핵전참주위50 km범위내3구3현412만거민적악성종류등기계통,등기계통주요유의료궤구주동보고보이현구질공궤구주동수색화복개전부향촌적기층보고망락조성.분석료2004지2008년해계통보고적종류발병솔,병대2008년해계통운행상황(보고도경、병례취진의료궤구분포、병례취진방식、학진의원적급별급자료질량등)진행분석,이평개운행효과.결과 등기계통유2가삼급갑등의원、16가이급의원、6가현구급질공중심화1121개촌급보고망락조성.2004지2008년계통보고발병솔유승고추세,루보솔불단하강.2008년전시거민악성종류신식주요래원우의료궤구(78.94%)화기층망락보고(18.98%),이본시의료궤구진단위주(95.10%),주원진단시주요취진방식(81.3l%),학진의원적급별주요위현급현이상의료궤구(99.42%).병리진단솔위64.30%,차농촌화성시진단의거유소불동.결론 해계통채용료부합당지실제정황、인지치의적보고모식,목전이능규범화운행.
Objective To acquaint the cancer registration system information in the vicinity of Tian wan Nuclear Power Plant,including system establishment,reporting system,and its operation performance.Methods Since Sep 2003,the cancer registration system has been established in Lianyungang city.It covered 3 urban districts and 3 counties,including 4.12 million people within 50 km of radius from Tianwan Nuclear Power Plant.The system was constituted principally by hospital active reporting.assisted with county's centers for disease control and prevention (CDC) active information collection and village doctor basal networks reporting.The cancer incidence data between 2004 and 2008 were analyzed,especially the data in 2008,such as data reporting channels,diagnostic hospital level and its location,the cancer diagnostic pattern,as well as data quality evaluation.Results The registration system consisted of 2 upper first-class hospitals,16 upper second-class hospitals,6 county-level CDCs and 1121 village basal reporting networks.During the period of 2004-2008,the cancer incidence was increased,while the percentage of unreported cases was decreased.In 2008,most of the cancer cases was reported by hospital (78.94%) and the basal networks (18.98%).81.3%of the cancer cases were diagnosed in Iocal hospitals.About 99.42% of the reported cases were confirmed with diagnosis by county,and hisher level hospitals.Pathological evidences were available for 64.30% of the cancer cases,while urban area differed from the rnral area.Conclusions The cancer registration system was successfully established in vicinity area of Tianwan Nuclear Power Plant,and its operation is improved with years.