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老年人随年龄增加,全身各器官出现退行改变,功能减低,因而其肝硬化有其自身的临床特点,现将我院自1982年以来收治的188例老年人肝硬化与265例非老年人肝硬化对比分析如下: 1 一般资料 老年组188例,男155例,女33例,年龄60～82岁,平均64.5岁。非老年组265例,男216例,女49例,年龄23～59岁,平均43.8岁。诊断均符合1990年5月上海全国肝炎会议方案。 1.1 病因分析 两组肝硬化均以肝炎后肝硬化为主,但老年组胆汁性肝硬化显著多于非老年组(P<0.05)。两组乙肝病毒血清标志(HBVM)检测,各项指标阳性率无显著性差异(P>0.05)。见表1、2。 1.2 病情及预后 老年组失代偿期肝硬化、合并重型肝炎及病死率显著高于非老年组(P<0.05),见表3。
Elderly people increase with age, systemic degenerative changes appear, the function of reduced, so its cirrhosis has its own clinical features, now our hospital since 1982, 188 cases of elderly patients with cirrhosis and 265 cases of non-elderly liver Comparative analysis of sclerosis as follows: 1 General information 188 elderly patients, 155 males and 33 females, aged 60 to 82 years, mean 64.5 years. Non-elderly group of 265 cases, 216 males and 49 females, aged 23 to 59 years, mean 43.8 years old. The diagnosis was in line with the plan of the Shanghai Hepatitis Conference in Shanghai in May 1990. Etiology analysis of two groups of cirrhosis of liver cirrhosis are the main, but the elderly group was significantly more biliary cirrhosis than non-elderly group (P <0.05). Two groups of hepatitis B virus serum markers (HBVM) test, the positive rate of each index no significant difference (P> 0.05). See Table 1 and 2. 1.2 Disease and prognosis The elderly group of decompensated cirrhosis, combined with severe hepatitis and mortality was significantly higher than the non-elderly group (P <0.05), Table 3.