老年反流性食管炎78例临床特点分析

目的：为了解老年人反流性食管炎的特点，对反流食管炎患者的临床特征进行分析。方法：将本院4年来213例反流性食管炎分为老年组和非老年组，对2组的患病率、症状、病变程度、复发率进行比较。结果：老年组患病率3．06％，非老年组2．30％（P＜0．05）；老年组中重度食管炎所占比例高于非老年组（P＜0．05）；且与非老年组复发率分别为60．26％、42．96％（P＜0．01）。结论老年人反流性食管炎与非老年人相比，具有发病率高、易漏误诊、病变程度重、复发率高的特点，正确认识对该病的诊治具有重要价值。

A clinic analysis on the characteristics of senile reflux esophagitis

Objective To investigate the characteristics of reflux esophagitis(RE)in the elderly. Methods Totally 213 cases had been collected in the past 4 years,which were divided into elderly and non elderly groups.The incidence,symptom,severity and relapse rate in the two groups were compared. Results The incidence of RE in elderly was 3 06%,and 2 30% in non elderly( P <0 05).The percentage of middle to high severity in elderly group is found to be higher than that in non elderly group( P <0 05).The relapse rate is 60 26% and 42 96% for elderly and non elderly group respectively( P <0 01). Conclusions The characteristics of RE in elderly are high incidence,high misdiagnosis,and relapse rate and high severity.Therefore,it is important to understand them properly when diagnosis and treatment.