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[目的]了解和掌握辽宁省常见癌症诊治规范执行情况,为提高全省癌症治疗水平和规范诊治率制定相应措施提供依据。[方法]采用整群二阶段随机抽样,抽取不同类型医疗机构内科、外科、放疗科常见癌症的病志,填写调查表。按照不同类型、不同级别医院进行频数分布描述及卡方检验。[结果]共收集有效调查表4508份,其中诊治规范的有1856份,仅占总体的41.17%。手术、化疗和放疗规范诊治率分别为33.38%、51.10%和37.38%,A类和B类医院高于C类医院,城市医院高于农村医院。2008年的规范诊治率与2002年比较增长了26.83%。[结论]如何推广常见恶性肿瘤诊治规范并实行质量控制,提高全省恶性肿瘤诊治的整体水平,已成为辽宁省肿瘤防治的一个重要问题,应加以重视和研究。
[Objective] To understand and grasp the implementation of the common diagnosis and treatment of cancer in Liaoning Province and provide evidences for improving the level of cancer treatment in the province and standardizing the diagnosis and treatment rate. [Methods] A cluster of two-stage random sampling was used to collect the common diseases of common cancers of internal medicine, surgery and radiotherapy in different types of medical institutions and fill in the questionnaire. According to different types, different levels of hospital frequency distribution and chi-square test. [Results] A total of 4,508 valid questionnaires were collected, of which 1,856 were for diagnosis and treatment, accounting for only 41.17% of the total. The diagnosis and treatment rates of operation, chemotherapy and radiotherapy were 33.38%, 51.10% and 37.38%, respectively. Class A and B hospitals were higher than Class C hospitals and urban hospitals were higher than rural hospitals. In 2008, the standard diagnosis and treatment rate increased by 26.83% compared with 2002. [Conclusion] How to popularize the diagnosis and treatment of common malignant tumors and implement quality control to improve the overall level of diagnosis and treatment of malignant tumors in Liaoning Province has become an important issue in the prevention and treatment of cancer in Liaoning Province, which should be valued and studied.