CAJ | 학술논문

目的：探讨60岁以上反流性食管炎的临床诊治及内镜分析。方法：抽取本院2010年8月到2013年8月收治的84例反流性食管炎患者作为研究对象,并将其分为对照组(年龄<60岁)和观察组(年龄≥60岁),每组42例,分析和比较两组的临床特点。结果：从临床症状来看,观察组发生慢性咳嗽、胸痛及支气管炎者居多,反酸、烧心者偏少,与对照组比较有统计学意义( P<0.05)；在内镜分级方面,发现观察组B级为12例(28.6％),D级为5例(11.9％),与对照组20例(47.6％)和1例(2.4％)比较,差异均有统计学意义( P<0.05)；经治疗8周后,所有患者的病情均得到有效控制。结论：60岁以上反流性食管炎多引发慢性咳嗽、胸痛及支气管炎等一系列临床症状；通过及时的内镜检查和药物治疗,可有效防控反流性食管炎。
목적：탐토60세이상반류성식관염적림상진치급내경분석。방법：추취본원2010년8월도2013년8월수치적84례반류성식관염환자작위연구대상,병장기분위대조조(년령<60세)화관찰조(년령≥60세),매조42례,분석화비교량조적림상특점。결과：종림상증상래간,관찰조발생만성해수、흉통급지기관염자거다,반산、소심자편소,여대조조비교유통계학의의( P<0.05)；재내경분급방면,발현관찰조B급위12례(28.6％),D급위5례(11.9％),여대조조20례(47.6％)화1례(2.4％)비교,차이균유통계학의의( P<0.05)；경치료8주후,소유환자적병정균득도유효공제。결론：60세이상반류성식관염다인발만성해수、흉통급지기관염등일계렬림상증상；통과급시적내경검사화약물치료,가유효방공반류성식관염。
Objective:To assess the diagnosis, treatment and endoscopic manifestations of reflux esophagitis in patients aged 60 years or greater. Methods:Between August 2010 and August 2013, we recruited 84 patients with reflux esophagitis who were randomly assigned to control group ( age<60 years, n=42) and observation group ( age 60 years or greater, n=42) . The clinical manifestations were subsequently compared. Results:When observed with clinical symptoms, there was a preponderance of patients with chronic cough, chest pain and bronchitis, but not acid reflux or heartburn (all P<0.05), in the observation group. When observed with the endoscopic grading, the number of patients with grade B [ 12 ( 28. 6%) vs. 20 ( 47. 6%) ] and grade D [ 5 (11. 9%) vs. 1 (2.4%)] between the observation group and control group (both P<0.05). All patients reported symptom control following 8 week treatment. Conclusion: The chronic cough, chest pain and bronchitis in patients with reflux esophagitis could be effectively controlled following endoscopy and assessment of therapeutic outcomes in a timely manner.