粪隐血试验筛查中老年人消化道出血性疾病结果分析

目的探讨采用粪隐血试验筛查中老年人消化道出血性疾病的临床意义。方法对5655例门诊、住院及常规体检的军队和地方中老年人同时进行化学法粪隐血试验（CFOBT）及免疫法粪隐血试验（IFOBT）,阳性者结合病史及临床表现进一步行相关医技检查确诊。结果本组粪隐血试验阳性548例,其中CFOBT阳性316例,检出率为5.59%,IFOBT阳性232例,检出率为4.10%,经临床、消化道内镜、腹部彩超及其他医技检查证实为上消化道疾病295例,占53.83%,主要有急性胃黏膜病变、消化性溃疡、胃癌等;下消化道疾病201例,占36.68%,主要有痔、结肠息肉、结（直）肠癌等;其他疾病52例,占9.49%,主要有急性胃肠炎、肾功能不全、非消化系肿瘤等。结论消化道出血性疾病在中老年人中发病率较高,常规用CFOBT和IFOBT 2种方法检测可筛查上、下消化道隐性出血,早期发现相关疾病,及时治疗,改善预后。

Analysis of Fecal Occult Blood Test in Screening Middle-aged and Senior Patients with Gastrointestinal Tract Hemorrhage Disease

Objective To discuss the clinical significance of fecal occult blood test in screening middle-aged and senior patients with gastrointestinal tract hemorrhage disease.Methods The experiment was carried out with two methods of chemical fecal occult blood test（CFOBT） and immunoassay fecal occult blood test（IFOBT） simultaneously in 5655 middle-aged and old military and civilian inpatients,outpatients and during medical checkups.The patients with positive result were analyzed for clinical symptoms and history and took further related medical examinations for diagnosis.Results There were 316（5.59%）CFOBT positive patients as well as 232（4.10%）IFOBT positive patients of all 548 FOBT positive cases in the group.There were 295（53.83%） patients of upper digestive disease（acute gastric mucous pathological,peptic ulcer and carcinoma of stomach,et al）.and 201（36.68%） of lower digestive disease（piles,colorectal polyp,colorectal and rectal cancer,et al.） and 52（9.49%） of other diseases（acute gastroenteritis,renal failure,the carcinoma of non-digestive system,et al.） were examined by clinical analysis,digestive endoscopy,and ultrasonic diagnosis.Conclusion The morbidity of gastrointestinal tract hemorrhage related diseases is high incidence in middle-aged and old population.The two methods of CFOBT and IFOBT can be used to screen out the upper and lower recessive gastrointestinal bleeding,detect related diseases early,provide and timely treatment and improve prognosis.