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目的了解我国农村贫困地区肿瘤高发区的恶性肿瘤构成情况和恶性肿瘤患者经济负担。方法对河南省某县11个乡(镇)39个村的肿瘤现患病人和近3年来因恶性肿瘤死亡者家属或知情者进行入户问卷调查。结果78例恶性肿瘤现患病人中,占前两位的是消化系统肿瘤和生殖系统肿瘤,分别为40例和17例,分别占51.28%和21.79%;直接医疗费用算术平均值为37 154.92元,直接非医疗费用为4 323.95元,间接经济损失算术平均值为8 749.09元。因恶性肿瘤死亡者15人,直接经济损失和间接经济损失分别为34 716.57元和7 603.57元。结论消化道肿瘤和生殖系统肿瘤是研究地区主要的恶性肿瘤,恶性肿瘤的发生给农民带来了沉重的经济负担。
Objective To understand the composition of malignant tumors and the economic burden of patients with malignant tumors in areas with high incidence of cancer in rural poverty-stricken areas in China. Methods The current questionnaires were collected from the current patients in 39 villages in 11 townships (towns) and the relatives or insiders who died of malignant tumors in the past 3 years. Results Among the 78 patients with malignant tumors, the top two patients were digestive system tumors and reproductive system tumors, accounting for 51.28% and 17.7% respectively. The arithmetic mean of direct medical expenses was 37 154.92 Yuan, the direct non-medical expenses was 4 323.95 yuan, and the arithmetic mean of indirect economic losses was 8 749.09 yuan. 15 people died of malignant tumor, direct economic losses and indirect economic losses were 34,716.57 yuan and 7,603.57 yuan respectively. Conclusions Gastrointestinal and reproductive system tumors are the major malignancies in the study area. The occurrence of malignant tumors has brought heavy economic burden to farmers.