中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
117-118
,共2页
反流性食管炎%临床特征%内镜分级
反流性食管炎%臨床特徵%內鏡分級
반류성식관염%림상특정%내경분급
Gastroesophageal reflux esophagitis%Clinical features%Endoscopic grading
目的：探讨老年人反流性食管炎患者的内镜分级特征。方法：收治老年反流性食管炎患者62例作为观察组，选取同期62例非老年人作为对照组，比较两组患者的临床特征与内镜分级特点。结果：观察组的咽部不适、上腹不适、吞咽困难、胸骨后痛、胃部灼热、反酸发生率高于对照组(P＜0.05)。观察组 C 级、D 级均高于对照组(P＜0.05)。观察组食管裂孔疝、萎缩性胃炎、胃溃疡发生率低于对照组(P＜0.05)。结论：老年人反流性食管炎患者无典型临床症状，大部分患者表现为重度食管炎，在老年群体中的发生率较高。
目的：探討老年人反流性食管炎患者的內鏡分級特徵。方法：收治老年反流性食管炎患者62例作為觀察組，選取同期62例非老年人作為對照組，比較兩組患者的臨床特徵與內鏡分級特點。結果：觀察組的嚥部不適、上腹不適、吞嚥睏難、胸骨後痛、胃部灼熱、反痠髮生率高于對照組(P＜0.05)。觀察組 C 級、D 級均高于對照組(P＜0.05)。觀察組食管裂孔疝、萎縮性胃炎、胃潰瘍髮生率低于對照組(P＜0.05)。結論：老年人反流性食管炎患者無典型臨床癥狀，大部分患者錶現為重度食管炎，在老年群體中的髮生率較高。
목적：탐토노년인반류성식관염환자적내경분급특정。방법：수치노년반류성식관염환자62례작위관찰조，선취동기62례비노년인작위대조조，비교량조환자적림상특정여내경분급특점。결과：관찰조적인부불괄、상복불괄、탄인곤난、흉골후통、위부작열、반산발생솔고우대조조(P＜0.05)。관찰조 C 급、D 급균고우대조조(P＜0.05)。관찰조식관렬공산、위축성위염、위궤양발생솔저우대조조(P＜0.05)。결론：노년인반류성식관염환자무전형림상증상，대부분환자표현위중도식관염，재노년군체중적발생솔교고。
Objective:To explore the inner grading characteristics of elderly patients with reflux esophagitis.Methods:62 patients with reflux esophagitis were selected as observation group,and 62 non elderly patients were selected as control group,then we compared the clinical features and endoscopic features of the patients.Results:The pharyngeal discomfort,abdominal discomfort, dysphagia,retrosternal pain,heartburn,acid reflux incidence of the observation group were higher than those of the control group(P<0.05).The levels of C and D in the observation group were higher than those in the control group(P<0.05).The incidence rate of esophageal hiatal hernia,atrophic gastritis,gastric ulcer of the observation group were lower than those of the control group(P<0.05).Conclusion:Elderly reflux esophagitis patients were with atypical clinical symptoms.Most patients presented for severe esophagitis,and the occur rate is higher in older age groups.
