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1、老年人GERD临床特点及综合治疗的观察高彦，陈绳武，蓝宇高彦，陈绳武，蓝宇，北京积水潭医院消化科北京市100035通讯作者：高彦，100035,北京大学医学部第四临床医学院，北京西城区新街口东街31号，寸匕京积力C潭页院消化禾斗Gaoyan1964@yahoo.com.cn电话：010-58516688-6727,13041265459收稿口期：接受口期：AnalyzeclinicalsymptomsofGERDAgedPatientsandobservecomplexcurativeeffect.YanGao,Sheng-WuCh
2、en,YuLanYanGao,Sheng-WuChen,YuLanDepartmentofGastroenterology,JiShuiTanHospitai,Beijing100035,ChinaCorrespondenceto:YanGao,DepartmentofGastroenterology,JiShuiTanHospital,No.31XinjiekoudongRoad,XichengDistrict,Beijing100035China,gaoyan1964@yahoo.com,cnAbstract：AIM:Analy
3、zeclinicalsymptomsofGERDAgedPatientsandobservecomplexcurativeeffect.METHODS:RandomselectGERDpatientsfrom2006-lto2008-1ofGastrocntorologyclinicinourhospitai(byRDQ>12wediagnoseGERD)•Weseiecttwogroupspatients:Agedpatientsgroup(260)1000casesandnonagedpatientsgroup(<60)1000
4、cases.Weinvestigaleclinicalsymptomsofeachpatientsintwogroupswhichincluclingtypicalinteresophagealsymptoms(heartburn，returnacid,:returnfood)anduntypicalextraesophagealsymptoms(chestpain,throatpain,swallowdifficulty,gingivitis,trachitis,asthma,nightcough),westatisticsocc
5、urrenceratesofeverysymptoms,comparethestatisticsdifferenceoftheratesintwogroups.WeusePPI,mucousprotectivecovering,gastricmoti1ityandmultisystcmandcomplexcure,ThenwccompareRDQresuItsofpatientsbeforeandaftercomplexcure.RESULTS:Occurrenceratesofinteresophagealsymptomsintw
6、ogroupshasnostatisticsdifference(p>0.05)；Theratesofextraesophagealsymptomsintwogroups(agedgroupishigherthennonagedgroup)havestatisticsdifference(p<0.01),GERDpatientsintwogroupsRDQresuItshavestatisticsdifferencebeforeandaftermultisystcmaticcomplexcure(p<0・01).Sothecurat
7、iveeffectisobvious.CONCLUSION:OccurrenceratesofextraesophagealsymptomsintwogroupsofGERDpatientshavestatisticsdifference(agedgroupishigherthennonagedgroup).TodiagnoseagedGERDpatientsweshoulddistinguishwithothersystcmaticdisease；Tocureweshouldusemultisystemandcomplexcure
8、forGERDpatientscompleterecovering.Keywords:Agedpatients；GERD摘要目的：分析老年人GERD临床症状并观察综合疗效。方法：随机选取2006年01月至2008年01月我院消化内科门
