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目的:探讨60岁以上反流性食管炎的临床诊治及内镜分析。方法:抽取本院2010年8月到2013年8月收治的84例反流性食管炎患者作为研究对象,并将其分为对照组(年龄<60岁)和观察组(年龄≥60岁),每组42例,分析和比较两组的临床特点。结果:从临床症状来看,观察组发生慢性咳嗽、胸痛及支气管炎者居多,反酸、烧心者偏少,与对照组比较有统计学意义(P<0.05);在内镜分级方面,发现观察组B级为12例(28.6%),D级为5例(11.9%),与对照组20例(47.6%)和1例(2.4%)比较,差并均有统计学意义(P<0.05);经治疗8周后,所有患者的病情均得到有效控制。结论:60岁以上反流性食管炎多引发慢性咳嗽、胸痛及支气管炎等一系列临床症状;通过及时的内镜检查和药物治疗,可有效防控反流性食管炎。
Objective: To investigate the clinical diagnosis and endoscopic analysis of reflux esophagitis over the age of 60 years. Methods: Eighty-four patients with reflux esophagitis admitted from August 2010 to August 2013 in our hospital were selected and divided into control group (aged <60 years) and observation group (aged ≥60 years) , 42 cases in each group. The clinical features of the two groups were analyzed and compared. Results: In terms of clinical symptoms, the majority of patients in the observation group had chronic cough, chest pain and bronchitis, and those with acid reflux and heartburn were less than those in the control group (P <0.05). In the endoscopic classification, The observation group had 12 cases (28.6%) in grade B and 5 cases (11.9%) in grade D, which were significantly lower than those in control group (20 cases, 47.6%) and 1 case (2.4% 0.05). After 8 weeks of treatment, the condition of all patients was effectively controlled. Conclusions: Reflux esophagitis more than 60 years old can trigger a series of clinical symptoms such as chronic cough, chest pain and bronchitis. Through timely endoscopy and drug therapy, reflux esophagitis can be effectively controlled.