CAJ | 학술논문

目的：通过了解某职业队列人群肺癌患者分布特征10年变化趋势，为确定肺癌高危人群、制定肺癌的预防控制及诊疗措施提供基础数据与科学依据。方法运用整群抽样方法，抽取2001～2010年间该职业队列人群ICD－10分类标准编码为肺癌的住院患者完整的病案资料，进行统计分析，描述该职业队列人群中老年肺癌患者分布特征10年变化趋势。结果10年该职工医院男性肺癌患者明显高于女性（2．26～22．67）∶1。61岁～年龄段肺癌患者所占比例最大（45．84％）；71岁以上肺癌患者构成比与年份存在正相关（rs＝0．758，P＜0．001），平均增长速度为3．19％。各职业组肺癌患者以采矿工人组及冶炼工人组所占比例最大（占62．13％），其中冶炼工人组肺癌患者构成比例与年份存在正相关（rs＝0．551，P＜0．001），平均增长速度为3．19％。结论肺癌病死率高，疾病负担重，男性61岁以上及从事采矿、冶炼工作者是肺癌发生的高危人群，应加强该人群的健康教育与防护；冶炼工人肺癌患者逐年增多，应改善该人群的作业环境及加强职业防护，切实提高该人群生命健康质量。
목적：통과료해모직업대렬인군폐암환자분포특정10년변화추세，위학정폐암고위인군、제정폐암적예방공제급진료조시제공기출수거여과학의거。방법운용정군추양방법，추취2001～2010년간해직업대렬인군ICD－10분류표준편마위폐암적주원환자완정적병안자료，진행통계분석，묘술해직업대렬인군중노년폐암환자분포특정10년변화추세。결과10년해직공의원남성폐암환자명현고우녀성（2．26～22．67）∶1。61세～년령단폐암환자소점비례최대（45．84％）；71세이상폐암환자구성비여년빈존재정상관（rs＝0．758，P＜0．001），평균증장속도위3．19％。각직업조폐암환자이채광공인조급야련공인조소점비례최대（점62．13％），기중야련공인조폐암환자구성비례여년빈존재정상관（rs＝0．551，P＜0．001），평균증장속도위3．19％。결론폐암병사솔고，질병부담중，남성61세이상급종사채광、야련공작자시폐암발생적고위인군，응가강해인군적건강교육여방호；야련공인폐암환자축년증다，응개선해인군적작업배경급가강직업방호，절실제고해인군생명건강질량。
Objective To analyze the disease trends and influencing factors among hospitalized patients and provide basic data and scientific basis for the prevention and control of lung cancer .Methods The cluster sampling method was used to carry out relevant investi-gations of a workers'hospital.According to the ICD-10 classified criteria ,the medical record information of lung cancer hospitalized patients were extracted between 2001 and 2010 to do the statistical analysis .Results The amount of male lung cancer patients was significantly more than that of females in the decade .In the age group of 61 to 70,the proportion of lung cancer was the largest (43.39%)and the constitute the ratio revealed negative correlation with the year (rs=-0.818,P=0.004<0.05),and the average growth rate was -4.45%.In the age group of more than 71,the constitute the ratio revealed positive correlation with the year (rs=0.766,P=0.010<0.05),and the average growth rate was 8.61%.In each occupational group of lung cancer patients ,the proportion of the mining workers'group and smelting workers'group ac-counted for 30.52%and 20.23%,respectively.The constitute the ratio revealed positive correlation with the year ( rs =0.668 ,P=0.000<0.05 ) and the average growth rate was 2.079%of melting workers'group.The constitute the ratio revealed negative correlation with the year (rs =-0.857,P=0.000<0.05),and the average growth rate was -8.932% of cadres group.Conclusions The disease of lung cancer has high mortality and heavy burden .The male workers ,over 61 years old,are at high risk for lung cancer in mining and smelting workers and the education and protection of the health of the population should be strengthened .The lung cancer patients in smelter workers is increasing year by year ,the operating environment for the population should be improved and strengthen vocational protective ,and which could effectively im-prove the quality of life and health of the population .