摘要
目的探讨广东省60岁以上反流性食管炎的临床诊治及内镜分析。方法随机抽取本院2010年8月—2014年8月收治的反流性食管炎患者104例,将患者按照年龄,以60岁为界限,大于或等于60岁为老年组,小于60岁为青壮年组,对比分析两组患者的临床表现、内镜检查结果等临床特征。结果老年组在胸痛、上腹不适、慢性咳嗽、支气管炎这些非典型的症状方面明显多于青壮年组(P<0.01),在反酸、烧心这类反流性食管炎的典型症状表现方面显著低于青壮年组(P<0.05);老年组在中度病变上的发生率明显多于青壮年组(P<0.05),而在轻度病变上的发生率明显少于青壮年组(P<0.05),两组的重度病变率无显著差异(P>0.05)。结论老年反流性食管炎患者一般病情程度较重,且多表现为非典型的症状,在临床实际诊疗中应当注意这种特点,避免漏诊和延误治疗。
Objective Discussion on Guangdong Province,more than 60 years of reflux esophagitis clinical diagnosis and endoscopic analysis. Methods Randomly selected hospital in August 2010-August 2014 were treated 104 cases of patients with reflux esophagitis,patients according to age,with 60 years as the limit,greater than or equal to 60 years for the older group,young adults less than 60 years old group comparative clinical characteristics,clinical manifestations of the two groups of patients,endoscopic findings and so on. Results Old age group in chest pain,abdominal discomfort,chronic cough,bronchitis these atypical symptoms significantly more than the young group( P < 0. 01),in acid reflux,heartburn and reflux esophagitis such typical symptoms of significant aspects lower than the young group( P < 0. 05); elderly group with moderate disease incidence in the group was more than young adults( P < 0. 05),whereas the incidence of disease in the mild group was significantly less than young adults( P < 0. 05),two severe lesions showed no significant difference( P > 0. 05). Conclusion Elderly patients with reflux esophagitis severity generally heavier,and more performance for atypical symptoms,diagnosis and treatment in clinical practice should be noted that this feature,to avoid misdiagnosis and delayed treatment.
出处
《广东微量元素科学》
CAS
2015年第7期39-42,共4页
Trace Elements Science
关键词
反流性食管炎
内镜分析
临床诊治
reflux esophagitis
endoscopic analysis
clinical diagnosis and treatment
