目的:观察胃食管反流病患者人群年龄分层的临床特征及中医证型分布特点。方法:通过流行病学现场调查,收集胃食管反流病患者的临床资料,比较年龄≥60岁的老年人群组与年龄<60岁的中青年人群组在食管炎症程度、临床症状、中医证型及生活质量方面的差异。结果:老年人群泛酸症状的发生频率低于中青年人群(P<0.05);脘痞胀症状的发生频率高于中青年人群(P<0.05)。老年人群中虚气逆证的比例高于中青年人群(P<0.05)。老年人群在活力、生理功能、疼痛、总体健康4个维度的生活质量评分明显低于中青年人群(P<0.05)。结论:胃食管反流病老年患者人群具有不同于中青年患者群的特点,应当采取有针对性的治疗。 Objective: To observe the clinical characteristics of age-related stratification in patients with gastroesophageal reflux disease and the distribution characteristics of TCM syndromes. Methods: The clinical data of patients with gastroesophageal reflux disease were collected through field investigation of epidemiology. The comparison of the degree of esophageal inflammation, clinical symptoms, Syndromes and quality of life differences. Results: The incidence of pantothenic symptoms in the elderly was lower than that in the middle-aged and young adults (P <0.05). The frequency of symptoms of swelling was higher than that of the middle-aged and young people (P <0.05). The proportion of deficiency syndrome in the elderly was higher than that in middle-aged and young people (P <0.05). The quality of life of the elderly population in four dimensions of vitality, physiological function, pain, and general health were significantly lower than those in middle-aged and young people (P <0.05). Conclusion: The elderly patients with gastroesophageal reflux disease have characteristics different from those of young and middle-aged patients, and targeted treatment should be taken.