老年人上消化道出血临床分析

Clinical Analysis of Upper Gastro-intestinal Bleeding in Old Patients

目的探讨老年人上消化道出血的临床特点。方法对我院同期两年间收治的上消化道出血确诊病例399例,其中老年组(A组60～85岁)149例及非老年组(B组15～59岁)250例的临床资料进行回顾性总结比较分析。结果 A组呕血率、伴随疾病率分别为21.5%、48.3%,与B组相比差异均非常显著(P<0.01)。病因方面,不论A组和B组,消化性溃疡仍然是上消化道出血的首要原因,其中A组胃溃疡(GU)与十二指肠溃疡(DU)发病无显著差异(P>0.05),而B组DU明显多于GU,差异非常显著(P<0.01)。结论老年人上消化道出血呕血发生率高,相关上腹痛、反酸和腹胀症状发生率低,伴随疾病多。

Objective To study the clinical characteristics of upper gastrointestinal bleeding in old patients. Methods The clinical data of 149 patients with upper gastrointestinal bleeding in senior group （group A ） were analyzed retrospectively, and compared with those of 250 patients in non-senior group （group B ） at the same periord in two years. Resultsln Group A hematemesis rate,combined disease rates were 21.5%. 48.3% respectively. Comparing with group B, the differences were significant （ P 〈0.01 ）. In the etiology, peptic ulcer was the frst caues for upper gastointestinal bleeding, both in senior and non senior group. Among them incidence rate of galstric ulcer （ GU ） in group A was not significanlly differen from duoderal ulcer （DU） （ P 〉 0.05 ）. The DU in group B was significantly higher than GU （ P 〈 0.01 ）. Conclusion The upper gastrointestinal bleeding in old people regard the high incidence of hematemesis patients has higher in ciderce of hematemesis, lower incidence of upper abdominal pain, acid reflux, abdominal distension and higher incidence of accompany diseases.