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目的探讨>60岁老年人胃镜检查胃溃疡临床特点。方法 67例>60岁老年胃溃疡患者(研究组)和67例≤60岁中青年胃溃疡患者(对照组)均接受胃镜检查,记录对比两组胃镜检查结果。结果研究组胃底、胃体溃疡发生率分别为14.93%、22.39%,显著高于对照组2.99%、10.45%,差异均具有统计学意义(P<0.05)。研究组胃溃疡直径为0.5~2.7 cm、平均胃溃疡直径(2.12±0.59)cm;对照组胃溃疡直径为0.5~2.8 cm,平均胃溃疡直径(2.08±0.58)cm,两组胃溃疡直径比较差异无统计学意义(P>0.05)。结论临床医生应准确掌握>60岁老年胃溃疡患者胃镜检查特点,对疑似病例给予综合检查确诊病情,有利于此类患者获得及时救治保障其生活质量及生命安全。
Objective To investigate the clinical features of gastroscopy gastric ulcer in 60-year-olds. Methods Sixty-six patients (aged 60 years old) with gastric ulcer (study group) and 67 adults (aged 60 years old) with gastric ulcer (control group) received gastroscopy. Gastroscopy results were compared between the two groups. Results The incidence rates of gastric fundus and gastric ulcer in study group were 14.93% and 22.39%, respectively, which were significantly higher than those in control group (2.99% and 10.45%, P <0.05). The diameter of gastric ulcer in study group was 0.5-2.7 cm and the mean diameter of gastric ulcer was 2.12 ± 0.59 cm. In control group, the diameter of gastric ulcer was 0.5-2.8 cm and the average diameter of gastric ulcer was 2.08 ± 0.58 cm. The difference was not statistically significant (P> 0.05). Conclusion Clinicians should accurately understand the characteristics of gastroscopy in patients with senile gastric ulcer at the age of 60 and give a comprehensive examination of the suspected cases for the diagnosis of the disease, which is beneficial to the timely treatment and treatment of such patients to ensure their quality of life and safety of life.