急诊胃镜诊治老年人上消化道出血的临床意义探讨  

Clinical significance of emergency gastroscopy in the elderly patients with upper gastrointestinal bleeding

作　　者：叶德文[1] 任宗海[2] 

机构地区：[1]浙江省瑞安市人民医院急诊科,浙江瑞安325200 [2]浙江省瑞安市人民医院消化内科,浙江瑞安325200

出　　处：《中国内镜杂志》2010年第6期578-580,共3页China Journal of Endoscopy

摘　　要：目的探讨急诊胃镜诊治老年人上消化道出血的临床意义,为其治疗提供依据。方法选取2006年8月～2009年4月于该院行急诊胃镜诊治的69例老年上消化道出血患者为研究对象,将其设为观察组,同时选取同期的65例非老年上消化道出血患者为对照组,将两组患者的病因及治疗效果、并发症发生率等进行统计分析,并加以研究比较。结果经研究比较发现,引起老年人上消化道出血的病因较多,以消化性溃疡、胃黏膜糜烂及消化道肿瘤所占比例较高,消化性溃疡及消化道肿瘤所占比例与非老年上消化道出血患者比较,均P<0.05,差异均有显著性,而其治疗总有效率及并发症发生率比较,均P>0.05,差异均无显著性。结论急诊胃镜在老年人上消化道出血诊治中效果较为明显,值得临床进一步研究探讨及推广应用。[Objective]To study the clinical significance of emergency gastroscopy in the elderly patients with upper gastrointestinal bleeding in order to provide evidence for the treatment.[Methods] 69 cases patients with upper gastrointestinal bleeding in our hospital from August 2006 to April 2009 were selected as observation group, and 65 cases healthy elderly were selected as control group. Then the causes, effect of treatment and incidence of complications were studied and compared.[Results] The results showed that the causes were more and peptic ulcer, gastric mucosal and digestive tract cancer tumor were more, the incidence of peptic ulcer and digestive tract cancer tumor were higher than that of control group, P 0.05, and it had had statistical significance. But the effect of treatment and incidence of complications of the two groups had no difference, P 0.05.[Conclusion]The effect of emergency gastroscopy in the elderly patients with upper gastrointestinal bleeding was better, and it is worthy of further studying and application.

关 键 词：急诊胃镜 老年人上消化道出血 诊治 意义 

分 类 号：R57[医药卫生—消化系统]