Analysis clinical and psychological features in elderly Uyghur patients with reflux esophagitis

Abstract

Objective To analyze clinical and psychological features among elderly patients oin Uygur nationality with reflux esophagitisand offer help for clinical diagnosis and treatment. Methods The cross-sectional study was under taken from June 2012 to June 2016 in Xinjiang Uygur Autonomous Region people′s Hospital.We report three hundred and twenty Uyghur patients cases.All the patients completed Eesophageal and extraesophageal questionnaires, Hamilton anxiety(HAMA)and Hamilton depression scale(HAMD)scale materials.According to the age, patients were divided into three groups, elderly group 95 cases, 100 cases of middle age, the young group125 cases.Compare distribution of symptom, severity of reflux esophagitis and psychological state between the three groups. Results The incident of serious reflux esophagitise in youth group, middle-aged group and aged group were 18.9%(18/95)、8.8%(11/125)、6%(6/100) respectively, and the difference was statistically significant(P<0.01). Compared with youth group and middle-aged group, the incidence of retrosternal pain and extra-esophageal symptoms-chronic cough were higher in aged group, was 25.2%(24/95), 22.1%(21/95)respectively.The differences were statistically significant(P<0.01). Comparison with youth and middle-aged group, the incidences of anxiety, depression and sleep disorder were higher in aged group were 5.2%, 37.9%, 52.8% respectively, the differences were statistically significant(P<0.01, P<0.05). Conclusion The incidence of retrosternal pain and chronic cough were higher in elderly Uygur patients with reflux esophagitis.Degree of esophagitis is serious, and anxiety, depression, sleep disorder prevalence is high.According to the characteristics of the elderly to provide basis for clinical diagnosis and treatment. Key words: Eldly; Reflux esophagitis; Clinical features; Psychological state