摘要
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 characteristics of clinical course and outcome in elderly patients with peptic ulcer bleeding. Methods The 162 hospitalized patients were devided into elderly group (≥60yrs,86 cases)and non-elderly group(<60yrs,76 cases). All patients were diagnosed peptic ulcer bleeding by endoscopy. Results Endoscopic findings included more gastric ulcer were seen in elderly patients than in non-elderly patients(52.3% vs 19.7%,P<0.01).Duration of toppage bleeding was significantly longer in elderly group.The number of rebleeding patients and blood transfusion necessary were significantly increased in elderly group than in non-elderly group, and the need for intensive care and surgical therapy was higher in elderly group.There was no difference in the two groups regarding to the history of using NSAID.Conclusion The elderly patients have a more complicated clinical course than those non-elderly patients regarding to the need for intensive care,transfusion requirements,duration between bleeding stop and rebleeding.
出处
《临床医学》
CAS
2005年第6期18-20,共3页
Clinical Medicine
