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1、老年患者反流性食管炎的临床特征分析doi:10.3969/j.issn.1007-614x.2014.21.21摘要目的:总结老年反流性食管炎患者的临床特征,提高正确诊断率。方法:2013年3月-2014年3月收治反流性食管炎患者312例,根据患者年龄进行分组,360岁的112例为老年组,0.05)o老年组轻度72例(64.3%),中度26例(23.2%),重度14例(12.5%);非老年组轻度148例(74.0%),中度41例(20.5%),重度11例(5.5%),两组在轻度和重度方面比较差异有统计学意义(P<0.05)。结论:老年人反流性食管炎发病率高于非老年人,多见于男性,临床症状
2、不典型,食管外症状较多见,重度食管炎的发生率高。因此全面掌握反流性食管炎相关知识,才能减少漏诊、误诊。关键词老年反流性食管炎临床特征AnalysisoftheclinicalcharacteristicsofelderlypatientswithrefluxesophagiLisShenWenyiQinhongCommunityHealthCenterofNanjingCity,Jiangsu210006AbstractObjective:Tosuminarizetheclinicalcharacteristicsofelderlypatientswithrefluxesophagiti
3、s,toimprovethecorrectdiagnosticrate.Methods:312caseswithrefluxesophagitiswereselectedfromMarch2013toMarch2014.Theyweregroupedaccordingtotheage,112casesmorethan60yearsastheoldgroup,200caseslessthan60yearsasthenonelderlygroup.Weretrospectivelyanalyzedtheclinicaldataoftwogroups.Results:Thedifference
4、sofchroniccough,pharyngealforeignbodysensation,heartburnandacidrefluxsymptomsofthetwogroupswerestatisticallysignificant(P0.05).Intheoldergroup,72cases(64.3%)weremild,26cases(23.2%)weremoderate,14cases(12.5%)weresevere.Inthenonelderlygroup,148cases(74%)weremild,41cases(20.5%)weremoderate,11cases(5
5、.5%)weresevere.Thereweresignificantdifferencesincaseswithmildandsevere(P<0.05).Conclusion:Theincidenceofrefluxesophagitisofoldpeopleishigherthanthatofthenonaged,andmaleiscommon.Theclinicalsymptomsarenottypical.Extraesophagealsymptomsarethemostcommon.Severeesophagitisincidenceishigh.Therefore,thec
6、omprehensiveknowledgeinrefluxesophagitiscanreducemisseddiagnosisandmisdiagnosis.KeywordsTheelderly;Refluxesophagitis;Clinicalfeatures反流性食管炎(refluxesophagitis,RE)是由胃、十二指肠内容物反流入食管引起的一种食管炎性病变[1],老年人发病率较高。为总结老年反流性食管炎患者的临床特征,提高正确诊断率,2013年3月-2014年3月收治老年反流性食管炎患者112例,进行总结和分析。资料与方法2013年3月-2014年3月收治反流性食管炎患
7、者312例,根据年龄进行分组,>60岁为老年组,<60岁为非老年组。老年组112例,男75例,女37例,年龄60-84岁,平均70.2岁;非老年组200例,男108例,女92例,年龄20〜59岁,平均41.2岁。方法:对两组临床资料进行回顾性分析。统计学方法:用SPSS18.0统计学软件处理数据,计量资料采取I检验,计数资料采取x2检验。当P<0.05时,认为差异具有统计学意义。结果两组临床症状比较:老年组慢性咳嗽19例(17.0%