老年人便血的病因分析

Analysis on Elderly Patients with hematochezia

目的:了解老年人便血的常见病因。方法:回顾性分析95例老年便血患者的病例资料,并对病因进行总结分析。结果:老年人便血常见原因有消化性溃疡(41.1%)、恶性肿瘤(22.1%)、缺血性肠炎(11.6%);51.6%(49/95)合并使用非甾体类抗炎药(nonsteroidal antiinflammatory drugs,NSAIDS)、抗血小板、抗凝药物;缺血性结肠炎(ischemic colitis,IC)患者均伴有相关基础疾病,如高血压、糖尿病、心脑血管疾病等。结论:老年人便血的病因中消化性溃疡、肿瘤及缺血性肠炎较常见,对老年便血患者建议常规做胃镜或大肠镜检查;老年患者抗血小板治疗前有必要对患者进行消化道出血风险评估。

Objective：To investigate the etiologic constitution of elderly patients with hematochezia.Method：A retrospective analysis of the clinical data of 95 elderly patients with hematochezia was conducted.Result：The most common reason was peptic ulcer（41.1%）,followed by cancer（22.1%）,IC（11.6%）.51.6% cases took medicine such as NSAIDS,Antiplatelet agents,Warfarin.All of the IC cases were associated with the basal diseases such as hypertension,diabetes,cardio-cerebrovascular disorders,etc.Conclusion：The common etiologies of elderly patients with hematochezia are peptic ulcer,cancer,IC,it＇s suggested to be routine for elderly patients with hematochezia to do gastroscopy or colonoscopy.It＇s necessary for elderly patients to evaluate the risk of gastrointestinal bleeding before antiplatelet therapy.