摘要
目的:通过对老年克罗恩病(CD)病人的临床特征分析,探讨老年CD病人的临床特点,从而提高对老年CD的诊治水平。方法:对我院诊断为CD的39例老年病人的病变部位、病变类型、实验室检查、手术情况、术后并发症以及维持用药情况等临床资料进行回顾性分析。结果:本组老年CD病人以末端回肠病变和回结肠病变为主,较少并发肛周病变。病变行为以狭窄型和穿透型为主,C-反应蛋白和红细胞沉降率偏高而白细胞计数正常,营养状况普遍较好。老年CD病人的疾病严重程度介于轻度至中度,且手术率较高,但一期肠吻合术后并发症较少,且预后良好。结论:本组老年CD病人的疾病特点与国外存在显著差异,应了解老年CD病人的疾病特征,从而提高对老年CD的诊治水平。
Objective： To find the clinical characteristics by analyzing clinical data so as to improve the level of diagnosis and treatment. Methods： Retrospective analysis was carried out in 39 elderly CD patients who were diagnosed in Jinling hospital during the period of 2011.01-2013.11. Re- suits： Terminal ileum and ileocolon were the predilection sites and perianal lesions were rare. The rates of stricture and penetration were common, and increased CRP, ESR and normal WBC values were always seen. The nutritional statuses of elderly CD patients were always nomal. The severity of elderly CD patients was mild to moderate, the rate of surgery was high hut the complication rate of one-stage anasto- mosis was low. Conclusion： The characteristics of Chineses elderly CD patients differ from western patients.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第2期69-71,75,共4页
Parenteral & Enteral Nutrition
基金
国家卫生行业科研专项基金资助(201002020)
关键词
老年
克罗恩病
肠内营养
Old age
Crohn＇s disease
Enteral nutrition
