老年与非老年经皮内镜下胃造瘘术的临床特征

Comparison of clinical characters of percutaneous endoscopic gastrostomy in elderly and non-elderly patients

目的比较分析老年患者及非老年患者经内镜下胃造瘘术（PEG）的临床特征。方法回顾性分析2007年1月～2013年12月在中国康复研究中心北京博爱医院住院行PEG治疗的患者84例,其中年龄≥65岁者44例为老年PEG组（老年组）,年龄〈65岁者40例为非老年PEG组（非老年组）。比较分析两组患者人口学特征、生化资料、基础疾病及并发症情况。结果老年组患者男/女为25/19例,非老年组患者男/女为32/8例,差异有统计学意义（χ2=5.162,P=0.035）;老年组白蛋白水平[（34.23±4.75）g/L]低于非老年组[（37.52±4.18）g/L],差异有高度统计学意义（t=3.271,P=0.002）;老年组循环系统疾病发生率（81.82%）高于非老年组（47.50%）,差异有高度统计学意义（χ^2=10.916,P=0.001）;老年组脑中风发生率（88.64%）高于非老年组（52.50%）,差异有高度统计学意义（χ^2=8.727,P=0.000）;非老年组颅脑外伤发生率（27.50%）高于老年组（0.00%）,差异有高度统计学意义（χ^2=13.923,P=0.000）;老年组造瘘口感染发生率（15.91%）高于非老年组（0.00%）,差异有统计学意义（χ^2=6.942,P〈0.05）。结论老年组白蛋白水平低于非老年组,老年组心血管病、脑血管病、造瘘口感染率高于非老年组;非老年组多为男性患者,多有颅脑外伤病史。

Objective To compare the clinic characters of percutaneous endoscopic gastrostomy（PEG） in elderly and non-elderly patients. Methods 84 cases with PEG in Beijing Charity Hospital, China Rehabilitation Research Center from January 2007 to December 2013 were retrospectively analyzed. 44 elderly patients with ≥65 years old were selected as senior group, 40 cases with 65 years old were selected as non-senior group. The demographic characteristic,biochemical data, underlying diseases and complication were analyzed between the two groups. Results The male/female ratio of senior group and non-senior group were 25/19 cases, 32/8 cases respectively, the difference was statistically significant（χ^2= 5.162, P = 0.035）. The albumin level of senior group [（34.23±4.75） g/L] was lower than that in non-senior group [（37.52±4.18） g/L], the difference was statistically significant（t = 3.271, P = 0.002）. The incident rate of circulatory system disease of senior group（81.82%） was higher than that of non-senior group（47.50%）, the difference was statistically significant（χ^2= 10.916, P = 0.001）. The incident rate of cerebral stroke of senior group（88.64%）was higher than that of non-senior group（52.50%）, the difference was statistically significant（χ^2= 8.727, P = 0.000）.The incident rate of craniocerebral trauma of non-senior group（27.50%） was higher than that of senior group（0.00%）,the difference was statistically significant（χ^2= 13.923, P = 0.000）. The incident rate of stoma infection of senior group（15.91%） was higher than that of non-senior group（0.00%）, the difference was statistically significant（χ^2= 6.942, P 0.05）. Conclusion The albumin level of senior group is lower than non-senior group. Senior group has more circulatory system diseases, cerebral stroke and stoma infection than non-senior group. The non-senior group has more male patients, more craniocerebral trauma than senior group.