中国全科医学2017，Vol.20Issue(13)：1592-1596,5.DOI:10.3969/j.issn.1007-9572.2017.13.013
老年患者结肠镜检查的临床特点研究
Clinical Characteristics of Colonoscopy of Senile Patients
摘要
Abstract
Objective To investigate clinical characteristics of colonoscopy of senile patients.Methods A total of 2 314 senile patients undergoing colonoscopy in Guangdong General Hospital from February 2015 to February 2016 were selected and divided into bleeding group(n=681) and non-bleeding group(n=1 633) according to whether there was gastrointestinal bleeding or not.The types and detection rates of colorectal lesions in senile patients were analyzed and the differences in colorectal lesions between the two groups were compared.Results The positive detection rate of 2 314 senile patients was 81.7%(1 891/2 314),of which the detection rate of colorectal polyps,colorectal cancer,colonic diverticulum and ulcerative erosive lesions was 50.9%(1 179/2 314),16.1%(373/2 314),12.4%(286/2 314) and 5.5%(127/2 314) respectively,and the detection rate of colorectal cancer in the bleeding group was 47.0%(320/681).The positive detection rate of the bleeding group(95.6%,651/681) was significantly higher than that in non-bleeding group(75.9%,1 240/1 633)(P<0.001).The proportion of male patients in bleeding group was significantly higher than that in non-bleeding group,and the detection rates of colorectal cancer,ulcer erosive lesions,vascular distortions were significantly higher than those in non-bleeding group and detection rate of colorectal polyps was significant lower than that in non-bleeding group(P<0.001).There was no significant difference in the detection rate of colonic diverticulum and colorectal melanosis between two groups(P>0.05).Conclusion Both colorectal polyps and colorectal cancer are the most common positive lesions in senile patients undergoing colonoscopy.Moreover,colorectal cancer may be an important cause of lower gastrointestinal bleeding in senile patients.关键词
肠疾病/结肠镜检查/老年人Key words
Intestinal disease/Colonoscopy/Aged分类
医药卫生引用本文复制引用
邓卫平,马娟,徐丽姝,沙卫红..老年患者结肠镜检查的临床特点研究[J].中国全科医学,2017,20(13):1592-1596,5.基金项目
广东省自然科学基金(2016A030313765) （2016A030313765）
广东省医学科研基金(A2014021) （A2014021）
广东省科技发展专项资金项目(2014A070705012) （2014A070705012）
