老年溃疡性结肠炎的临床特点  

Clincal Features of Elderly Ulcerative Colitis Patients

作　　者：宋敏[1] 吴杰[1] 王萍[1] 

机构地区：[1]武汉市中心医院消化内科,武汉430014

出　　处：《临床消化病杂志》2012年第6期335-336,共2页Chinese Journal of Clinical Gastroenterology

摘　　要：目的探讨老年溃疡性结肠炎(UC)患者的临床特点。方法对2000年1月～2012年3月在本院门诊和住院的213例UC患者临床特点进行回顾性分析。60或60岁以上发病的患者为老年组,60岁以下发病的患者为中青年组,对两组患者的临床特点进行比较分析。结果 213例UC患者中,老年组51例,中青年组162例,两组患者在性别比例上无明显不同。老年UC患者中便血明显较中青年组少见(P<0.05)。与中青年组相比,老年组疾病的严重程度及内镜分级相对较轻(P<0.05)。老年UC患者的病变部位以直肠、直乙结肠和左半结肠受累最常见,明显高于中青年组(P<0.05)。结论老年UC患者临床表现相对较轻,病变部位以直肠、直乙结肠和左半结肠受累多见,内镜下病变较局限,表现较轻。Objective To retrospective analyze the clinical features of elderly patients with uncerative colitis. Methods 213 cases with diagnosed ulcerative colitis in the Wuhan central hospital from 2000 to 2012 were recruited. The clinical features were observed and compared between the elderly（ ≥60 yrs） and the young-middle age （ 〈60 yrs）patients. Results Among the 213 cases of ulcerative colitis,51 cases were elder. There were no significant differences in the gender. Hematochezia were more common in the elderly group than that in young- middle age group （ P 〈 0.05 ）. The disease of elderly patients was more severe than that of the young-middle age patients（ P 〈 0.05 ）. The lesions were more located at the rectum, proctosigmoid and left hemicolon （P 〈 0. 05 ）. Conclusion Ulcerative colitis was less severe in the patients onset on elder age,the disease in- volvement was more limited observed under endoscope, and endoscopic feature was better than that onset on young-middle age.

关 键 词：老年 溃疡性结肠炎 临床特点 

分 类 号：R574.62[医药卫生—消化系统]