调查分析老年人上消化道出血的病因和幽门螺杆菌感染

The Investigation and Analysis of the Cause of Upper Gastrointestinal Bleeding and Helicobacter Pylori Infection in Elderly Patients

目的调查和分析该院老年人上消化道出血的相关病因,并探讨幽门螺杆菌感染情况。方法整群选取2013年10月—2015年2月该院收取的上消化道出血患者共242例为观察组,并选取同时期上消化道疾病但非出血者242例为对照组,分析上消化出血的相关病因和幽门螺杆菌感染情况。结果上消化道出血中,主要的病因是十二指肠溃疡(35.1%)、胃溃疡(21.9%)、急性胃黏膜病变(10.7%)、胃癌(7.9%)、十二指肠炎(7.4%)。非上消化道出血患者Hp阳性率为59.5%,明显高于上消化道出血患者Hp阳性率31.8%(P<0.01)。结论老年人上消化道出血以消化性溃疡为主,Hp感染不会显著增加消化道出血风险。

Objective To investigate and analyze the cause of upper gastrointestinal bleeding and Hp infection in elderly. Methods 242 cases of upper gastrointestinal bleeding from October 2013 to February 2015 in our hospital were selected, while 242 cases of upper digestive tract desease but un-hemorrhage at the same period were selected. The cause of upper gastrointestinal bleeding and Hp infection were analyzed. Results The main cause of gastrointestinal bleeding was duodenal ulcer(35.1%), gastric ulcer(21.9%), acute gastric mucosal lesion(10.7%), gastric cancer(7.9%), duodenitis(7.4%). The positive rate of Hp in control group was 59.5%, which was significantly higher than the observation group. Conclusion The main cause of gastrointestinal bleeding is peptic ulcer in the elderly, and Hp infection does not significantly increase the risk of gastrointestinal bleeding.