高龄老年多器官功能障碍综合征(MODS)患者消化系统障碍的临床特点研究

Clinical Characteristics of Digestive System Disorders in Elderly Patients with Multiple Organ Dysfunction Syndrome

目的探讨高龄老年多器官功能障碍综合征(MODS)患者消化系统障碍表现出的一系列特点。方法选取2017年1月至2021年11月收治的140例MODS患者作为研究对象;以80岁为界合理展开临床分组;分为高龄组(>80岁,70例)以及非高龄组(≤80岁,70例)。针对两组患者的疾病特点展开分析,对消化系统障碍发生情况进行统计,cf获得结果进行观察对比。结果在消化系统障碍发生率方面,高龄组同非高龄组差别不明显(P>0.05)。对诱发因素实施统计发现,高龄组46例消化系统障碍诱因中,脑血管意外患者6例,感染患者29例,大手术后患者3例,心脑血管急症患者5例,创伤患者1例,其他患者2例;非高龄组45例消化系统障碍诱因中,严重创伤以及大手术后患者24例,感染患者18例,其他患者3例。在胃肠功能障碍发生率方面,高龄组比例较非高龄组更高(P<0.05)。观察与分析消化系统功能障碍的临床表现,发现:①在胃肠功能障碍方面,在胃肠功能障碍衰竭前期,两组临床体征均呈现出肌紧张、皮肤黏膜黄染、右上腹压痛以及反跳痛等。在胃肠功能障碍衰竭期,高龄组呈现出无痛性柏油样便的情况;非高龄组呈现出腹部胀痛不适的情况。②在肝功能障碍方面,高龄组表现呈现出隐匿性特点,以生化检查异常作为首发表现;非高龄组则呈现出体征变化情况,腹水征加剧,患者呈现出黄疸加深的情况。结论临床对高龄MODS患者合并消化系统障碍的特点加以分析,合理采取针对性措施给予干预,可有效提高患者临床抢救效果,改善预后,使其生活质量显著提升。

Objective To investigate the series characteristics of digestive system disorders in elderly patients with multiple organ dysfunction syndrome(MODS).Methods A total of 140 patients with MODS admitted from January 2017 to November 2021 were selected as the research objects.The clinical group was reasonably divided according to 80 years old.They were divided into elderly group(>80 years old,70 case)and non-elderly group(≤80 years old,70 case).According to the disease characteristics of the two groups of patients were analyzed,the occurrence of digestive system disorders was counted,and the results were observed and compared.Results There was no significant difference in the incidence of digestive system disorders between the elderly group and non-elderly group(P>0.05).Among the 46 cases of digestive system disorders in the elderly group,6 cases were cerebrovascular accident,29 cases were infection,3 cases were major surgery,5 cases were cardio-cerebrovascular emergency,1 case was trauma,and 2 cases were other.In the non-elderly group,there were 24 patients with severe trauma and major surgery,18 patients with infection and 3 patients with other causes of digestive system disorders.In terms of the incidence of gastrointestinal dysfunction,the proportion of elderly group was higher than that of non-elderly group(P<0.05).Observing and analyzing the clinical manifestations of digestive system dysfunction,it was found that:(1)In terms of gastrointestinal dysfunction,in the early stage of gastrointestinal dysfunction failure,the patients in the elderly group showed progressive jaundice.The non-elderly group showed a series of symptoms such as fever,abdominal pain and chills.The clinical signs of the two groups showed muscle tension,skin and mucosa yellow staining,right upper abdominal tenderness and rebound pain.In the failure stage of gastrointestinal dysfunction,the elderly group presented painless tarry stool.The non-elderly group showed abdominal distension,pain and discomfort.(2)The patients showed liver dysfunction,and the elderly group showed occult characteristics,with abnormal biochemical examination as the first manifestation.The non-elderly group showed signs of change,with increased ascites signs and patients with increased jaundice.Conclusion Clinical analysis of the characteristics of MODS patients with digestive system disorders,reasonable targeted measures for intervention,can effectively improve the clinical rescue effect of patients,improve their prognosis,and make their quality of life significantly improved.