老年胃食管反流病患者临床特点的分析.pdfVIP

论著·临床论坛 C0MMU D0CT0RS 老年胃食管反流病患者的临床特点分析 044300山西省平陆县圣人涧 心卫生院 doi:10.3969/j.issn.1007-614x.2014.17.18 摘 要 目的：探究分析胃食管反流病(GERD)老年患者的临床表现和心理状态，为临床治疗提供依据。 ： 2010-2012年收治 ＞60岁的老年胃食管反流患者40例为观察组，选同期体检检测显示正常的健康人40例为对照 组。使用Zung焦虑自评量表以及抑郁自量表对患者心理状况进行分析。对比分析两组患者临床症状和心理状况。结 果：观察组胃食管反流症状以及食管外症状相对于对照组发生率高；观察组心理状况比对照组低，两者比较差异具有 统计学意义(P＜0.05)。结论：老年GERD患者心理状况因为疾病呈现下降趋势，对身体健康造成 影响，从而进 入恶性循环中，因此需要对其有 的关心，提高患者的生存质量。 老年胃食管反流病 临床症状 心理状况 生活质量 Toinvestigateandanalyzetheclinicalcharacteristicsofgastroesophagealrefluxdiseaseinelderly LiuJianguo TheCenterHospitalofShengrenjianTown luCounty,Shanxi044300 Abstract Objective:Toanalyzetheclinicalmanifestationsandthementalstateofgastroesophagealrefluxdisease(GERD)in elderlypatients,inordertoprovideanimportantbasisfortheclinicaltreatment.Methods:40 caseswithgastroesophagealreflux overtheageof60elderlyfrom2010to2012fortheobservationgroup,and40caseswereshowednormalhealthybythephysical examinationasthecontrolgroup.WeanalyzedthepsychologicalstatusofthepatientsbytheZungselfratingAnxietyScaleand depressionratingscale.Wecomparedandanalyzedtheclinicalsymptomsandpsychologicalconditionoftwogroups.Results:The gastroesophagealrefluxsymptomsandesophagealsymptomsoftheobservationgroupweremuchhigherthanthoseinthecontrol group.Thepsychologicalstatusoftheobservationgroupweremuchlowerthanthatofthecontrolgroup,andthereissignificant difference(P＜0.05). : Because of the disease,the psychological status of elderly patients with GERD decreased, resultinginanegativeimpactonhealth,toenterintoaviciousspiral,sotheyneedmorecareaboutit,inordertoimprovethe qualityoflifeofpatients. Keywords Gastroesophagealrefluxdiseaseinelderlypatients;Clinicalsymptoms;Psychologicalstatus;Qualityoflife