180例西藏老年消化系统疾病患者的临床诊治分析

Clinical Analysis of 180 Cases of Tibetan Elderly Patients with Digestive Diseases

目的探讨西藏地区老年消化系统疾病的临床诊治方法与效果。方法选择本院接收的180例老年消化系统疾病患者,且均为常年生活在藏区的同胞。经过临床诊断,本组案例包括五种消化系统疾病类型,分别是胃癌、肝硬化、慢性乙型肝炎、慢性胰腺炎、炎症性肠病。然后,根据不同疾病的诊治标准,分别采取不同方法进行施治,并进行为期一年的随访。结果治疗后患者病情有所好转,但不同疾病的显效率差异较明显。胃癌显效率为73.33%,肝硬化显效率为77.50%,炎症性肠病显效率达到82.14%。慢性乙型肝炎显效率道道85.71%,慢性胰腺炎显效率达到87.50%。结论西藏老年消化系统疾病不仅种类多,而且诊治难度较大,对不同患者要采取有针对性的诊治措施,这样才能收到较好的临床效果。

Objective To investigate the clinical diagnosis and treatment methods and effects of the elderly digestive disease in Tibet.Methods 180 elderly patients with digestive diseases which live in the Tibet region in our hospital had selected.After clinical diagnosis,the group includes five types of diseases： gastric cancer,liver cirrhosis,chronic hepatitis B,chronic pancreatitis,inflammatory bowel disease,respectively.Then,according to the diagnosis and treatment of different diseases standards,take different approach to therapy.Results After treatment the patient＇s condition has improved,significant differences in efficiency of different diseases.Markedly effective rate was 73.33%,77.50%,82.14%,85.71% and 87.50% in gastric cancer,liver cirrhosis,inflammatory bowel disease,Chronic hepatitis B and chronic pancreatitis respectively.Conclusion There is a wide range of elderly digestive disease in tibet region and has difficult in diagnosis and treatment,targeted diagnosis and treatment measures to be taken for different patients,in order to receive better clinical effect.Using specific measures to take diagnosis and treatment with different patient,in order to receive better clinical results.