不同年龄段胃食管反流病患者临床特点的对比研究

目的探讨不同年龄段胃食管反流病患者临床特点。方法选取在该院门诊就诊的胃食管反流病患者80例,对患者进行检查和问卷调查,分析临床特点。结果老年组B级及以上食管炎、食管外症状发生率明显高于青年组(P<0.05);老年组卧位食管pH<4时间、立位食管pH<4时间及DeMeester评分均明显高于青年组和中年组(P<0.05);老年组在活力、总体健康2个维度的评分明显低于青年组和中年组(P<0.05)。结论随着年龄增长,食管酸暴露时间逐渐延长,中重度食管炎和食管外症状发生率逐渐增加,患者生活质量逐渐下降。

Clinical features of gastroesophageal reflux at different ages

Objective To investigate clinical features of gastroesophageal reflux at diflerent ages. Methods Eighty patients with gastroesophageal reflux were selected to take inspection and questionnaire,and clinical features were analyzed. Results B grade and above esophagitis incidence and esophageal symptoms incidence of elderly group were higher than those of youth group （ P 〈 0.05 ）. Supine time pH 〈4,upright time pH 〈4 and DeMeester score of elderly group were significantly higher than those of youth and middle-age group （P 〈 0.05 ）. Vitality, general health score of elderly group were significantly lower than those of youth and middle-age group （P 〈 0.05）. Conclusions With the increase in age, the incidence of moderate and severe esophagitis and esophageal symptoms becomes higher, acid exposure time becomes longer, and the quality of life becomes lower.