老年人急性非静脉曲张性上消化道出血病因分析  

Etiology analysis of non-variceal upper gastrointestinal bleeding in the elderly

作　　者：安康[1] 陈倩倩[1] 李惠惠[1] 王淑芳[1] 毛永平[1] 张修礼[1] 刘庆森[1] 令狐恩强[1] 

机构地区：[1]解放军总医院消化内科

出　　处：《中华老年多器官疾病杂志》2016年第6期455-458,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的分析老年急性非静脉曲张性上消化道出血（ANVUGIB）的病因。方法对解放军总医院消化内科2011年1月至2015年12月期间收治的233例老年ANVUGIB患者的临床资料进行回顾性分析。结果233例老年ANVUGIB患者，年龄60-96（74．38±8．86）岁。最常见的病因为消化性溃疡（111例，占47．6％），内胃溃疡49例，十二指肠溃疡43例，复合溃疡19例。排在第二、三位的病因分别为消化系恶性肿瘤（74例，占31．8％）、急性胃黏膜病变出血（20例，占8．6％）。老年ANVUGIB的危险因素中，非甾体抗炎药（NSAIDs）及抗凝药物相关消化道出血占28．8％。性别亦是危险因素之一。结论消化性溃疡是老年ANVUGIB最常见的病因，NSAIDs及抗凝药物相关消化道出血是其最常见的危险因素。Objective To analyze the causes of acute non-variceal upper gastrointestinal bleeding （ANVUGIB） in the elderly patients. Methods Clinical data of 233 patients （ 〉 60 years old） with ANVUGIB treated in our department from January 2011 to December 2015 were collected and analyzed retrospectively. Results The age was （74.38 ± 8.86） years in the cohort, ranging from 60 to 96 years. Among these 233 patients, the most common cause was peptic ulcer, accounting for 47.6% （111 patients, including 49 cases of gastric ulcer, 43 cases of duodenal ulcer, and 19 cases of complex ulcer）, followed by digestive tumors （74 patients, 31.8% ） and acute gastric mncosal lesion （20 patients, 8.6% ）. In the analysis of risk factors, 28.8% cases of gastrointestinal bleeding were related with nonsteroidal anti-inflammatory drugs （NSAIDs） and anticoagulants, and gender was also one of risk factors. Condusion Peptic ulcer is the most common cause of ANVUGIB in the elderly patients. NSAIDs and anticoagulants are most common risk factors for gastrointestinal bleeding in the cohort.

关 键 词：胃肠出血 老年人 病因 消化性溃疡 

分 类 号：R592[医药卫生—老年医学] R573.2[医药卫生—内科学]