CAJ | 학술논문

目的：探讨老年便秘患者和内镜下发现的肠道疾病之间的关系。方法归纳上海中医药大学附属曙光医院2009年7月至2013年7月350例老年便秘病例的结肠镜结果，结合老年便秘患者病程、性别并归纳分析镜下肠道疾病的分布特点。结果350例老年便秘病例肠道疾病发现率高达60.86%，相关大肠疾病发病率依次为结直肠炎（26.86%）、结肠黑变病（13.14%）、肠息肉（12.00%）、结直肠癌（6.57%）、炎症性肠病（1.14%）、结肠憩室（0.57%）、肠结核（0.29%）、毛细血管扩张症（0.29%）。男性便秘病例肠息肉、结直肠癌检出率高于女性（P＜0.05）。便秘病程＞5年组结肠黑变病发生率较高（P＜0.05）。结论老年人便秘的最主要病因是结直肠疾病，尽早行结肠镜检查，明确病因，对症治疗，是提高老年人生活质量的关键。
목적：탐토노년편비환자화내경하발현적장도질병지간적관계。방법귀납상해중의약대학부속서광의원2009년7월지2013년7월350례노년편비병례적결장경결과，결합노년편비환자병정、성별병귀납분석경하장도질병적분포특점。결과350례노년편비병례장도질병발현솔고체60.86%，상관대장질병발병솔의차위결직장염（26.86%）、결장흑변병（13.14%）、장식육（12.00%）、결직장암（6.57%）、염증성장병（1.14%）、결장게실（0.57%）、장결핵（0.29%）、모세혈관확장증（0.29%）。남성편비병례장식육、결직장암검출솔고우녀성（P＜0.05）。편비병정＞5년조결장흑변병발생솔교고（P＜0.05）。결론노년인편비적최주요병인시결직장질병，진조행결장경검사，명학병인，대증치료，시제고노년인생활질량적관건。
Objective To investigate the relationship between constipation and intestinal diseases diagnosed by endoscopy in the elderly patients. Methods The colonoscopic results of 350 elderly patients [aged (72.29±15.71) years] with constipation in our department from July 2009 to July 2013 were collected and retrospectivley analyzed. The endoscopic features of intestinal diseases were analyzed with their disease course and gender. Results Among the 350 cases, the prevelance of intestinal diseases was 60.86% diagnosed by endoscopy, they were colorectitis (26.86%), melanosis coli (13.14%), colorectal polyps (12.00%), colorectal cancer (6.57%), inflammatory bowel disease (1.14%), colonic diverticula (0.57%), intestinal tuberculosis (0.29%) and telangiectasia (0.29%) in order. The prevalences of colorectal polyps and cancer were higher in the male constipation patients than in the female ones (P<0.05). A higher incidence of melanosis coli was observed in the patients with constipation over 5 years (P<0.05). Conclusions Constipation in the elderly patients is mainly caused by colorectal diseases. Thus, colonoscopy for these patients is recommended to ensure early detection and treatment, which may be of great help in improving the elderly patients’ life quality.