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老年人疾病有症状不典型及慢性迁延的特点,老年胃病在临床特点、病程经过、并发症与预后方面,也与青中年人不同,而造成诊断困难或延误,为此本文将以胃病中最常见的慢性胃炎、消化性溃疡、胃癌等三种疾病在老年患者的特点作一介绍,以引起重视。一、胃的分泌与运动机能老年可导致胃肠分泌机能的改变,盐酸分泌和各种消化酶的分泌逐渐减少,Meyer和Necheles证明50％以上的老人唾液淀粉酶分泌减少,胃酸分泌随年龄的增长而降低,50～60岁占20％>60岁则占35％,加强组织胺试验,基础和最大泌酸量均减低,女性尤然。胃酸降低既可能是一个老化过程,也可能是一个病理性改变,胃酸降低常合并萎缩性胃炎,有消化不良的非溃疡病老年人,绝大多数64～87岁无症状者均可有程度不等的慢性萎缩性胃炎。胃蛋白酶的分泌,40岁以前分泌颇为恒
Elderly disease symptoms atypical and chronic persistent characteristics of senile stomach in the clinical features, duration of the disease, complications and prognosis, but also with young people different, resulting in difficult or delayed diagnosis, this article will be in the stomach The most common chronic gastritis, peptic ulcer, gastric cancer and other three diseases in the characteristics of elderly patients for an introduction to attract attention. First, the gastric secretion and motor function Senile elderly can lead to changes in gastrointestinal secretion, hydrochloric acid secretion and secretion of various digestive enzymes gradually reduced, Meyer and Necheles proved that more than 50% of the elderly saliva amylase decreased secretion of gastric acid secretion with age Growth and decline, 50 to 60 years old accounted for 20%> 60 years accounted for 35%, to strengthen the histamine test, the basis and the maximum amount of oxyntic acid are reduced, especially women. Gastric acid reduction may be both an aging process, may also be a pathological change, often accompanied by decreased gastric acid atrophic gastritis, indigestion, non-ulcer disease in the elderly, most of the 64 to 87-year-old asymptomatic may have degrees Chronic atrophic gastritis. Pepsin secretion, before the age of 40 is quite constant secretion