中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
25期
24-25
,共2页
幽门螺杆菌感染%上消化道出血%感染病因
幽門螺桿菌感染%上消化道齣血%感染病因
유문라간균감염%상소화도출혈%감염병인
Hp infection%Upper gastrointestinal hemorrhage%Infection etiology
目的：调查和分析该院老年人上消化道出血的相关病因,并探讨幽门螺杆菌感染情况。方法整群选取2013年10月-2015年2月该院收取的上消化道出血患者共242例为观察组,并选取同时期上消化道疾病但非出血者242例为对照组,分析上消化出血的相关病因和幽门螺杆菌感染情况。结果上消化道出血中,主要的病因是十二指肠溃疡(35.1%)、胃溃疡(21.9%)、急性胃黏膜病变(10.7%)、胃癌(7.9%)、十二指肠炎(7.4%)。非上消化道出血患者Hp阳性率为59.5%,明显高于上消化道出血患者Hp阳性率31.8%(P<0.01)。结论老年人上消化道出血以消化性溃疡为主,Hp感染不会显著增加消化道出血风险。
目的：調查和分析該院老年人上消化道齣血的相關病因,併探討幽門螺桿菌感染情況。方法整群選取2013年10月-2015年2月該院收取的上消化道齣血患者共242例為觀察組,併選取同時期上消化道疾病但非齣血者242例為對照組,分析上消化齣血的相關病因和幽門螺桿菌感染情況。結果上消化道齣血中,主要的病因是十二指腸潰瘍(35.1%)、胃潰瘍(21.9%)、急性胃黏膜病變(10.7%)、胃癌(7.9%)、十二指腸炎(7.4%)。非上消化道齣血患者Hp暘性率為59.5%,明顯高于上消化道齣血患者Hp暘性率31.8%(P<0.01)。結論老年人上消化道齣血以消化性潰瘍為主,Hp感染不會顯著增加消化道齣血風險。
목적：조사화분석해원노년인상소화도출혈적상관병인,병탐토유문라간균감염정황。방법정군선취2013년10월-2015년2월해원수취적상소화도출혈환자공242례위관찰조,병선취동시기상소화도질병단비출혈자242례위대조조,분석상소화출혈적상관병인화유문라간균감염정황。결과상소화도출혈중,주요적병인시십이지장궤양(35.1%)、위궤양(21.9%)、급성위점막병변(10.7%)、위암(7.9%)、십이지장염(7.4%)。비상소화도출혈환자Hp양성솔위59.5%,명현고우상소화도출혈환자Hp양성솔31.8%(P<0.01)。결론노년인상소화도출혈이소화성궤양위주,Hp감염불회현저증가소화도출혈풍험。
Objective To investigate and analyze the cause of upper gastrointestinal bleeding and Hp infection in elderly. Meth-ods 242 cases of upper gastrointestinal bleeding from October 2013 to February 2015 in our hospital were selected , while 242 cases of upper digestive tract desease but un-hemorrhage at the same period were selected. The cause of upper gastrointestinal bleeding and Hp infection were analyzed. Results The main cause of gastrointestinal bleeding was duodenal ulcer (35.1%), gastric ulcer (21.9%), acute gastric mucosal lesion (10.7%), gastric cancer (7.9%), duodenitis (7.4%). The positive rate of Hp in control group was 59.5%, which was significantly higher than the observation group. Conclusion The main cause of gastrointestinal bleed-ing is peptic ulcer in the elderly, and Hp infection does not significantly increase the risk of gastrointestinal bleeding.
