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目的探讨老年人消化性溃疡出血的临床特点。方法回顾性分析消化性溃疡出血患者162例的临床资料,其中老年组86例,非老年组76例。所有入选病例均经内镜确诊。结果老年组胃溃疡患病率(52.3%)明显高于非老年组(19.7%,P<0.01);与非老年组比较,老年组平均止血时间明显延长,再出血比例明显增高;所需平均输血量,需手术者以及需重症监护者均明显高于非老年组。两组患者应用非类固醇抗炎药(NSAID)差异无显著性。结论老年人消化性溃疡出血临床病情较非老年人重,病程延长,治疗更为复杂。
Objective To investigate the clinical features of peptic ulcer bleeding in the elderly. Methods The clinical data of 162 patients with peptic ulcer bleeding were retrospectively analyzed, including 86 elderly patients and 76 non-elderly patients. All selected cases were confirmed by endoscopy. Results The prevalence of gastric ulcer in the elderly group was significantly higher than that in the non-elderly group (52.3% vs 19.7%, P <0.01). Compared with the non-elderly group, the mean bleeding time was significantly longer and the rate of rebleeding was significantly higher in the elderly group. The volume of blood transfusion, surgery required, and those requiring intensive care were significantly higher than those in the non-elderly group. The two groups of patients using non-steroidal anti-inflammatory drugs (NSAID) no significant difference. Conclusion The clinical manifestations of peptic ulcer bleeding in the elderly are more serious than non-elderly patients, prolong the course of treatment more complicated.