56例老年胃食管反流病患者临床特征分析

目的分析老年胃食管反流病患者临床特征.方法选择昭通市第一人民医院2009年6月至2011年6月消化科收治的56例老年胃食管反流病患者作为观察对象为观察组;随机从同期收治的非老年胃食管反流病患者中选择56例进行对比为对照组.比较2组食管炎洛杉矶分级、食管症状发生率、食管外症状发生率、综合治疗前后RDQ评分情况.结果观察组重度食管炎(C+D级)发生率明显较轻度食管炎(A+B级)高,观察组食管症状发生率均较对照组高,观察组和对照组治疗前后RDQ评分对比,差异均有统计学意义(P<0.05).结论临床医师要在临床实践中更多地关注老年人,治疗中要多系统全方位综合治疗,才能取得更好疗效,使患者最大获益.

The Clinical Characteristics of Gastroesophageal Reflux Disease in 56 Elderly Patients

Objective To analyse the clinical characteristics of gastroesophageal reflux disease(GERD)in elderly patients.Methods 56 patients with GERD from June of 2009 to June of 2011 in our hospital were selected as observation group.And the other 56 elderly patients without GERD in the same term were randomly selected as control group.The Los angeles classification,the incidence of esophagus symptoms,the incidence of out-esophagus symptoms,and RDQ classification before and after comprehensive treatment were compared between two groups.Results The incidence of severe esophagitis(C+D)and symptoms in observation group was higher than control group(P<0.05).And the RDQ also had significant difference between two groups(P<0.05).Conclusions The elderly patients with GERD need be paid more attention in clinical practice.It is necessary to use the systemic and comprehensive therapy in order to get preferable tharapeutical effect in elderly patients with GERD.