| 张宁,曲璇,孙晓红.老年人胃食管反流病的诊疗策略[J].中国临床保健杂志,2020,23(3):295-298. |
| 老年人胃食管反流病的诊疗策略 |
| Diagnosis and treatment of gastroesophageal reflux disease in the elderly |
| 投稿时间：2020-03-11 |
| DOI：10.3969/J.issn.1672-6790.2020.03.002 |
| 中文关键词: 胃食管反流病 诊断技术,消化系统 临床方案 老年人 |
| 英文关键词: Gastroesophageal reflux Diagnostic techniques,digestive system Clinical protocols Aged 〖FL |
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| 中文摘要: |
| 胃食管反流病(GERD)在老年人群中常见。与成年人相比,老年人缺乏典型胃食管反流的临床表现,易导致误诊或漏诊。老年人的GERD临床症状轻或不典型,但反流性食管炎的程度重。其病理生理机制与增龄相关的食管及胃肠动力障碍和胃食管交界处(EGJ)结构异常密切相关。老年患者与成年患者在诊断和治疗GERD方面的原则一致,但考虑到年龄的特殊性,治疗方面可能需要更高的强度。 |
| 英文摘要: |
| Gastroesophageal reflux disease (GERD) is common in the elderly.Compared with adults,the elderly usually lack of typical clinical manifestations of gastroesophageal reflux,which can easily lead to misdiagnosis or missed diagnosis.The clinical symptoms of GERD in the elderly are mild or atypical.However,the degree of reflux esophagitis is usually severe.The pathophysiological mechanism is closely related to the aging-related disturbance of esophageal and gastrointestinal motility and structural abnormalities at the gastroesophageal junction (EGJ).The principles for diagnosis and treatment of GERD in elderly patients are consistent with those in adult patients,but higher intensity may be required in terms of treatment considering the particularity of age. |
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