以食欲不振为首发症状的中老年患者187例病因分析

The epidemiological character of 187 elderly patients with anepithymia

目的了解以食欲不振为首发症状的中老年患者临床表现及流行病学特点。方法对在我院消化内科2003年2月至2007年11月住院治疗以食欲不振为首发症状187例中老年患者的临床表现和临床诊断进行分析。结果恶性肿瘤共计52例(27.8%),感染性疾病患者共计49例(26.2%),良性胃病共计21例(16.6%);药物性肝损害、甲状腺功能异常、糖尿病等占有不同比例。主要伴随症状有乏力、体质量下降、精神淡漠、低热,在恶性肿瘤、感染性疾病、良性胃病三类疾病占比例分别为(75.0%、86.5%、23.1%、30.8%)、(46.9%、26.5%、53.1%、75.5%)、(29.0%、45.2%、22.6%、6.5%),差异有统计学意义(P<0.01)。结论中老年患者以食欲不振主诉就诊消化科较为常见,恶性肿瘤、感染性疾病发病率远超过良性胃病。

Objective To investigate the epidemiological character of elderly patients with anepithymia.Methods 187 cases of elderly patients with anepithymia who were hospitalized in our department of gastroenterology from February 2003 to November 2007 were analyzed.Results Among these patients,52 cases were malignant tumor（27.8%）,49 infectious diseases（26.2%）,21 benign digestive diseases（16.6%）.Others were drug-induced hepatic lesions,thyroid disfunction,diabetes,and so on.As major simultaneous phenomenon,incidences of hypodynamia,weight loss,apathy and low-grade fever in malignant tumor,infectious diseases and benign digestive diseases were（75%,86.5%,23.1%,30.8%）,（46.9%,26.5%,53.1%,75.5%） and（29.0%,45.2%,22.6%,6.5%）,respectively,there were statistical significance in the incidence rates（P〈0.01）.Conclusion It is common for elderly patients with the onset of anepithymia to see gastroenterologist.Incidences of malignant tumor and infectious diseases are much higher than that of benign digestive diseases.