老年下肢静脉曲张患者的临床特点分析

Clinical characteristics of varicose veins of lower extremities in the elderly

摘要:

目的 分析老年下肢静脉曲张患者的临床特点,为老年人群疾病的诊疗管理提供依据。方法 回顾性分析2015年1月至2020年12月于西安交通大学第一附属医院住院手术的3860例下肢静脉曲张患者的临床资料,根据年龄将患者分为老年组(≥60岁,n=1540)与非老年组(＜60岁,n=2320),收集2组患者的临床资料。采用SPSS 18.0统计软件进行数据分析,根据数据类型分别使用t检验、χ²检验或Mann-Whitney U检验进行组间比较。结果 2组患者CEAP分级情况比较,差异有统计学意义(P<0.05),老年组患者以C4期为主,非老年组患者以C3期为主。老年组患者患病时间多于非老年组；全身或局部合并症多于非老年组；住院时长多于非老年组；下地活动时间晚于非老年组,差异均有统计学意义(P＜0.05)。结论 老年组患者患病时间长,疾病严重程度重,且多合并其他系统性疾病及局部并发症,因此需全面评估并进行个体化治疗。

Abstract:

Objective To analyze the clinical characteristics of varicose veins of lower extremity in the elderly patients in order to provide reference for the diagnosis, treatment and management in elderly population. Methods Clinical data of 3 860 patients with varicose veins of lower extremity who underwent surgery in the First Affiliated Hospital of Xi′an Jiaotong University from January 2015 to December 2020 were collected and retrospectively analyzed in this study. According to the age, the subjects were divided into elderly group (≥60 years old, n=1 540) and non-elderly group (<60 years old, n=2 320). SPSS statistics 18.0 was used to perform the statistical analysis. Student′s t test, Chi-square test, or Mann-Whitney U test was used for intergroup comparison based on the data type. Results According to the results of Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification, there was statistically significant difference between the two groups in the CEAP grades (P<0.05). The patients in the elderly group were mainly in grade C4, and those in the non-elderly group were mainly in grade C3. The elderly group had an obviously longer duration of illness, larger proportion of more systemic or localized complications and longer length of hospitalization, but later for out-of-bed activities when compared with the non-elderly group (all P<0.05). Conclusion For varicose veins of lower extremities, the elderly patients have a longer duration of illness, severer condition, and more systemic or localized complications. Therefore, comprehensive assessment and individualized treatment are required for them.