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[目的]分析2000～2009年上海市7827例新发肺癌患者的临床特征变化以及2009年肺癌患者的直接医疗费用状况,为肺癌综合防治和疾病负担研究提供信息。[方法]采用病历查阅、随访调查和提取收费记录相结合的方法,应用Excel软件建立数据库对数据进行分析。[结果]2000～2009年7827例肺癌患者平均年龄61.5岁。男、女性别比由2000年的2.7∶1下降至2009年的2.0∶1。病理类型以腺癌为主,占57.0%,且所占比例逐年上升。肺癌Ⅲ～Ⅳ期患者占总病例数的64.2%。2009年新发肺癌患者年人均直接医疗费用57952.5元,自付费用占41.6%。[结论]应加强对肺癌高危人群的定期筛查、降低疾病经济负担。
[Objective] To analyze the changes of clinical features of 7827 new-onset lung cancer patients in Shanghai from 2000 to 2009 and the direct medical costs of lung cancer patients in 2009, so as to provide information for the comprehensive prevention and treatment of lung cancer and study of the burden of disease. [Methods] The data were analyzed by using the combination of medical record review, follow-up investigation and extraction of charge record. [Results] The average age of 7827 lung cancer patients from 2000 to 2009 was 61.5 years. Male and female ratio dropped from 2.7: 1 in 2000 to 2.0: 1 in 2009. The main pathological type was adenocarcinoma, accounting for 57.0% of the total, with the proportion increasing year by year. Lung cancer Ⅲ ~ Ⅳ patients accounted for 64.2% of the total number of cases. In 2009, the average annual direct medical costs of new-onset lung cancer patients was 57,952.5 yuan, while the out-of-pocket expenses accounted for 41.6%. [Conclusion] Periodic screening should be strengthened for high-risk groups with lung cancer and the economic burden of diseases should be reduced.