老年下消化道出血的临床及内镜特征分析  

Analysis of Clinical and Endoscopic Features of Lower Gastrointestinal Hemorrhage in Geriatric Patients

作　　者：殷桂香[1] 乔进朋[1] 殷芳[1] 杨泽敏[1] 

机构地区：[1]北京丰台医院消化科,北京100071

出　　处：《医学临床研究》2010年第7期1221-1223,共3页Journal of Clinical Research

摘　　要：【目的】探讨老年下消化道出血患者的临床表现与内镜特征。【方法】508例下消化道出血的病例，根据发病年龄分为老年组（≥60岁）和中青年组（〈60岁），对两组患者的临床及内镜特征进行比较。【结果】508例下消化道出血中老年组占220例（43．31％），中青年组288例（56．69％），老年组并发症的发生率为18．64％（41例），显著高于中青年组（P〈0．05）；老年组大肠癌74例（33．63％），明显高于中青年组（P〈o．01）；大肠息肉40例（18．18％）；痔34例（15．45％）；老年组出血部位以直肠及乙状结肠多见，与中青年组比较无显著差异。【结论】老年人下消化道出血并发症发生率高，大肠癌是老年人便血最主要的原因。[Objective] To discuss the clinical manifestation and endoscopic features of lower gastrointestinal hemorrhage in geriatric patients. [Methods] A total of 508 cases with lower gastrointestinal hemorrhage were divided into senile group（ 960 years old） and middle-aged group（G60 years old） according to their onset ages. The clinical and endoscopic features were compared between two groups. [Results]Of all the cases, there were 220 senile patients （43.31 %） and 288 middle aged patients （56.69%）. The incidence of complications in the senile group was 18.64%（41） which was significantly higher than that in the middle-aged group（ P〈0.05）. In the senile group, there were 74 cases with large colorectal cancer（33.63%） which were signifi cantly higher than those in the middle-aged group（ P〈0.01）. Also, there were 40 cases with eolorectal pol yps（18.18%） and 34 cases with hemorrhoids（15.45%） in the senile group. Lower gastrointestinal hemor-rhage mainly occurred at rectum and sigmoid in the senile group, but there was no significant difference between two groups. [Conclusion] The incidence of the complication of lower gastrointestinal hemorrhage is high in the senile people. Colorectal cancer is the main reason of bloody stool in the senile people.

关 键 词：胃肠出血 内窥镜检查 

分 类 号：R573.2[医药卫生—消化系统]