老年上消化道出血86例相关因素剖析及临床治疗观察.docVIP

老年上消化道出血86例相关因素剖析及临床治疗观察 　　[摘要] 目的 探讨老年上消化道出血的相关因素及临床治疗效果。 方法 选取2012年5月~2013年9月我院住院的老年上消化道出血86例作为观察组，选取同期于我院进行治疗的中青年上消化道出血患者 84 例作为对照组。观察两组的出血原因、临床特征及临床疗效。 结果 观察组中胃溃疡、胃癌所致的出血的发生率明显高于对照组（P＜0.05），而因食管静脉曲张及十二指肠溃疡的出血发生率明显低于对照组（P＜0.05）。因上腹痛就诊患者观察组明显低于对照组；因无明显上消化道出血，但具有呕血黑便、贫血症状的患者多于对照组，差异有统计学意义（P＜0.05）。治愈率观察组低于对照组，复发率高于对照组，差异有统计学意义（P＜0.05）。结论 老年上消化道出血患者症状不典型、耐受性差、易发生并发症，治愈率低，复发率高，在临床治疗过程中需给予重视。 　　[关键词] 老年上消化道出血；出血因素 　　[中图分类号] R573.2#8195;#8195;#8195;[文献标识码] B#8195;#8195;#8195;[文章编号] 2095-0616（2014）11-169-03 　　 　　Analysis of related factors of 86 cases and clinical observation on the treatment of elderly upper gastrointestinal bleeding 　　LIN#8195;Mugui#8195;#8195;FENG#8195;Qiumei#8195;#8195;ZHAO#8195;Nian#8195;#8195;GUO#8195;Qunhua 　　Department of Second Internal Medicine, the peoples Hospital of Deqing County, Deqing 526000, China 　　[Abstract] Objective To explore the related factors of 86 cases and clinical observation on the treatment of elderly upper gastrointestinal bleeding. Methods 86 cases of tract bleeding as the observation group from 2012 May -2013 year in September my courtyard hospital elderly upper gastrointestinal, 84 patients with gastrointestinal hemorrhage in our hospital as the control group of were selected in the treatment of youth digest. The clinical features and the clinical curative effect observation, bleeding in twogroups were all observed. Results The patients in observation group by bleeding gastric ulcer, gastric cancerinduced significantly higher than that of control group patients (P＜0.05), duodenal ulcer, bleeding from esophageal varices induced significantly lower than the control group (P＜0.05). The observation group was the proportion of patients with abdominal pain were lower than the control group; because of melena, anemia patients, but no obvious higher than that in the control group the proportion of patients with gastrointestinal bleeding, significant difference (P＜0.05). The cure rate in observation group than in the con