中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
Chinese Journal of the Frontiers of Medical Science (Electronic Version)
2015年
8期
105-107
,共3页
老年%鼻出血%危险因素
老年%鼻齣血%危險因素
노년%비출혈%위험인소
Elderly%Epistaxis%Risk factor
目的：对老年鼻出血患者进行调查分析，总结老年人鼻出血的原因及相关危险因素。方法采用问卷方式对本院耳鼻喉科门诊就诊的120例老年鼻出血患者（病例组）进行调查，并按照1︰1比例另选本院耳鼻喉科门诊就诊的120例非鼻出血老年患者作为对照组，分析老年鼻出血患者的临床特征及危险因素。结果老年鼻出血患者主要分布于71～80岁年龄段，男性多于女性；冬季患病人数构成比最高，其次为春季；出血部位主要为鼻中隔利特尔区，合并一种或多种疾病的患者比例为67.50%。病例组患者伴随疾病中血液病、高血压、鼻部炎症、糖尿病、鼻中隔利特尔区偏曲、鼻咽部肿瘤的发生率均显著高于对照组（P＜0.05）。血液病、高血压、鼻部炎症、鼻中隔利特尔区偏曲、鼻咽部肿瘤是老年鼻出血的危险因素。结论老年人群鼻出血好发于71～80岁年龄段，春、冬季发病率较高，伴随血液病、高血压、鼻部炎症、鼻中隔利特尔区偏曲、鼻咽部肿瘤是老年鼻出血的危险因素。
目的：對老年鼻齣血患者進行調查分析，總結老年人鼻齣血的原因及相關危險因素。方法採用問捲方式對本院耳鼻喉科門診就診的120例老年鼻齣血患者（病例組）進行調查，併按照1︰1比例另選本院耳鼻喉科門診就診的120例非鼻齣血老年患者作為對照組，分析老年鼻齣血患者的臨床特徵及危險因素。結果老年鼻齣血患者主要分佈于71～80歲年齡段，男性多于女性；鼕季患病人數構成比最高，其次為春季；齣血部位主要為鼻中隔利特爾區，閤併一種或多種疾病的患者比例為67.50%。病例組患者伴隨疾病中血液病、高血壓、鼻部炎癥、糖尿病、鼻中隔利特爾區偏麯、鼻嚥部腫瘤的髮生率均顯著高于對照組（P＜0.05）。血液病、高血壓、鼻部炎癥、鼻中隔利特爾區偏麯、鼻嚥部腫瘤是老年鼻齣血的危險因素。結論老年人群鼻齣血好髮于71～80歲年齡段，春、鼕季髮病率較高，伴隨血液病、高血壓、鼻部炎癥、鼻中隔利特爾區偏麯、鼻嚥部腫瘤是老年鼻齣血的危險因素。
목적：대노년비출혈환자진행조사분석，총결노년인비출혈적원인급상관위험인소。방법채용문권방식대본원이비후과문진취진적120례노년비출혈환자（병례조）진행조사，병안조1︰1비례령선본원이비후과문진취진적120례비비출혈노년환자작위대조조，분석노년비출혈환자적림상특정급위험인소。결과노년비출혈환자주요분포우71～80세년령단，남성다우녀성；동계환병인수구성비최고，기차위춘계；출혈부위주요위비중격리특이구，합병일충혹다충질병적환자비례위67.50%。병례조환자반수질병중혈액병、고혈압、비부염증、당뇨병、비중격리특이구편곡、비인부종류적발생솔균현저고우대조조（P＜0.05）。혈액병、고혈압、비부염증、비중격리특이구편곡、비인부종류시노년비출혈적위험인소。결론노년인군비출혈호발우71～80세년령단，춘、동계발병솔교고，반수혈액병、고혈압、비부염증、비중격리특이구편곡、비인부종류시노년비출혈적위험인소。
ObjectiveTo investigate and analyze the basic situation for elderly patients with epistaxis and to explore the reasons and related risk factors.Method120 cases of elderly patients with epistaxis (patients group) in our hospital were investigated by questionnaire and 120 cases of elderly people without epistaxis were selected as control group at the ratio of 1:1. The clinical characteristics and risk factors for epistaxis were explored.ResultMost epistaxis patients were aged from 70 to 80 years old, male were more than female. The incidence of epistaxis was highest in winter, followed by in spring. The mainly bleeding area was the nasal septum little area; patients with one or more diseases was 67.50%. Patients group with hematopathy, hypertension, nasal inflammation, diabetes, nasal septum little area deviation, nasopharyngeal tumor were significantly higher than control group (P<0.05). Hematopathy, hypertension, nasal inflammation, nasal septum little area deviation, nasopharyngeal tumor were the risk factors of epistaxis.Conclusion Epistaxis occurs in the elderly aged 71~80 and the incidence is higher in spring and winter. Hematopathy, hypertension, nasal inlfammation, nasal septum little area deviation, nasopharyngeal tumor are the risk factors for elderly patients with epistaxis.
