【摘要】 [目的]探讨老年人上消化道出血的病因构成及其相关因素。[方法]选取2011年2月~2013年6月间因上消化道出血到我院就诊的250例老年上消化道出血患者,对其发病原因进行统计分析,并研究病因与诱因的相关性。[结果]250例老年急性上消化道出血患者的主要病因依次为:出血性胃炎(32%)、胃(24%)及十二指肠溃疡(28%)、胃肿瘤(10%)等,男性患者发病的比例明显高于女性患者(P<0.05);不同病因间的诱因构成不同,出血性胃炎主要由酗酒(33%)引起;而胃溃疡的主要诱因为饮食不当(38.1%)和长期服用药物(22%);此外,老年上消化道出血患者中服用非甾体类抗炎药物的患者比例高达40.4%。[结论]老年患者急性上消化道出血病因主要包括出血性胃炎、胃及十二指肠溃疡等,常见诱因的相关因素包括酗酒、饮食不当、药物影响等,在诊疗过程中应尽早明确病因,并针对不同病因制订不同治疗方案,才能取得患者较好的疗效及预后。更多还原

【Abstract】 [Objective]To explore the causes of the elderly upper gastrointestinal bleeding and its related factors.[Methods]Two hundred and fifty cases of elderly patients with upper gastrointestinal bleeding from Feb 2011to Jun 2013in our hospital were statistical analyzed for detecting its possible causes.[Results]In two hundred and fifty cases of elderly patients with acute upper gastrointestinal bleeding,the main cause was hemorrhagic gastritis(32%),stomach ulcer(24%)and duodenal ulcer(28%)and gastric cancer(10%).The proportion of male patients was significantly higher than female patients(P<0.05).Hemorrhagic gastritis was mainly caused by alcohol(33%).And the main cause of gastric ulcer was improper diet(38.1%)and the long-term use of drugs(22%).In addition,the old patients with upper gastrointestinal bleeding in patients taking NSAID drugs ratio was as high as 40.4%.[Conclusion]Elderly patients with acute upper gastrointestinal hemorrhage etiology mainly includes the hemorrhagic gastritis,gastric and duodenal ulcer.The common cause of relevant factors include alcohol,improper diet,drug effects,etc..更多还原