老年患者结肠镜检查的临床特点研究

发布时间：2018-03-05 15:20

本文选题：肠疾病　切入点：结肠镜检查　出处：《中国全科医学》2017年13期 　论文类型：期刊论文

【摘要】：目的探讨老年患者结肠镜检查的临床特点。方法选取2015年2月—2016年2月在广东省人民医院行结肠镜检查的老年患者2 314例,根据是否存在消化道出血分为出血组(n=681)和非出血组(n=1 633)。分析老年患者的结直肠病变类型和检出率,并比较两组患者的结直肠病变差异。结果 2 314例老年患者的阳性检出率为81.7%(1 891/2 314),其中结直肠息肉、结直肠癌、结肠憩室、溃疡糜烂性病变的检出率分别为50.9%(1 179/2 314)、16.1%(373/2 314)、12.4%(286/2 314)、5.5%(127/2 314),出血组患者的结直肠癌检出率为47.0%(320/681)。出血组患者的阳性检出率(95.6%,651/681)高于非出血组(75.9%,1 240/1 633),差异有统计学意义(P0.001)。与非出血组比较,出血组患者男性比例高,结直肠癌、溃疡糜烂性病变、血管畸变检出率高,结直肠息肉检出率低,差异有统计学意义(P0.001);两组患者结肠憩室、结直肠黑变病检出率比较,差异无统计学意义(P0.05)。结论结直肠息肉和结直肠癌是老年患者结肠镜检查中较为常见的阳性病变,且结直肠癌可能是导致老年患者下消化道出血的重要病因。
[Abstract]:Objective to investigate the clinical features of colonoscopy in elderly patients. Methods from February 2015 to February 2016, 2 314 elderly patients underwent colonoscopy in Guangdong Provincial people's Hospital. According to the existence of gastrointestinal hemorrhage, the patients were divided into two groups: hemorrhage group (n = 681) and non-bleeding group (n = 1 633). The types and detection rate of colorectal lesions in elderly patients were analyzed. Results the positive rate of colorectal lesions in 2 314 elderly patients was 81.7%, including colorectal polyps, colorectal cancer and diverticulum. The positive rate of ulcer erosive lesions was 50.910 / 1 179/2 31451.The positive rate of 373 / 2314 / 12.4T / 286R / 2314g / 5.5T = 127 / 23145a, and the positive rate of colorectal cancer in bleeding group was 47.00.320 / 681.The positive rate of bleeding group was 95.66n6651681respectively, which was higher than that of non-bleeding group (75.914 / 1 240/1 633N), and the difference was statistically significant compared with that of non-bleeding group (P 0.001), and compared with the non-bleeding group, the positive rate of colorectal cancer in the bleeding group was 95.66% 6516.1% higher than that in the non-bleeding group (P 0.001, P 0.001, P 0.001, P 0.001, P 0.001, P 0.001). The incidence of colorectal cancer, ulcerative and erosive lesions, vascular aberration and colorectal polyps were high, and the difference was statistically significant (P 0.001), and the detection rates of colonic diverticulum and colorectal melanosis were compared between the two groups. Conclusion Colorectal polyps and colorectal cancer are common positive lesions in colonoscopy in elderly patients, and colorectal cancer may be an important cause of lower gastrointestinal bleeding in elderly patients.
【作者单位】：广东省人民医院
【基金】：广东省自然科学基金(2016A030313765) 广东省医学科研基金(A2014021) 广东省科技发展专项资金项目(2014A070705012)
【分类号】：R574.62

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