老年急性非食管静脉曲张性上消化道出血的临床特征分析

Analysis of clinical features of elderly with acute non variceal upper gastrointestinal bleeding in the elderly

目的探索急性非食管静脉曲张性上消化道出血老年患者的发病原因、临床症状及治疗情况等特征,以为临床诊治工作提供参考。方法选取140例急性非食管静脉曲张性上消化道出血患者,按照患者的年龄区别,其中年龄≥60岁的80例患者作为实验组,<60岁的60例患者作为对照组。收集所有患者的临床资料,对两组患者的发病原因、临床症状及治疗情况比较分析。结果与对照组患者相比,实验组患者中因癌症发病率(27.50%)明显较多,实验组中单纯黑便发生率(87.50%)、低血压发生率(25.0%)与NSAIDs服用史(23.75%)明显较高,实验组的输血量(10.62±2.91)m L、再出血发生率(16.25%)、止血时间(13.76±5.29)h均明显较高,差异有统计学意义(P<0.05)。结论急性非食管静脉曲张性上消化道出血老年患者的病情较为危重,治疗难度较高,故临床需加强临床诊断及有效治疗。

Objective To explore the cause of disease,clinical symptoms and treatment characteristics of acute non variceal upper gastrointestinalbleeding in elderly patients,and to provide reference for clinical diagnosis and treatment.Methods140cases of patients with acute non varicealupper gastrointestinal bleeding and who accepted treatments in hospital of Department of gastroenterology from January,2011to December,2015were selected,and according to the age of the patients,80patients aged60years or older patients as the experimental group,60cases of patients lessthan60years old as the control group.Then,the clinical data of all patients were collected,and the causes of disease,clinical symptoms and treatmentcondition of two groups of patients were compared and analyzed.Results Compared with the patients in the control group,the incidence of cancerin the experimental group was27.50%,which was significantly higher,and in the experimental group,the incidence of simple black stools was87.50%,the incidence of hypotension was25%,and the history of NSAIDs taking was23.75%,which was significantly higher.In the experimental group,theblood transfusion volume(10.62±2.91)mL,rebleeding rate(16.25%)and hemostasis time(13.76±5.29)h,which was significantly higher(P<0.05),and the difference was statistically significant.Conclusion The clinical condition of elderly patients with acute non variceal upper gastrointestinalbleeding is more critical,and the treatment is difficult,so it is necessary to strengthen the clinical diagnosis and effective treatment.