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目的:分析老年消化性溃疡的临床特征和内镜特点。方法:收集本院2013年3月-2015年3月收治的老年消化溃疡患者84例的作为观察组,另选取同期消化性溃疡非老年患者92例作为对照组,分析两组患者临床特征和内镜特点。结果:观察组患者应用非甾体抗炎药与对照组比较,差异具有统计学意义(P<0.05),观察组患者的上腹非节律性疼痛、嗳气反酸、上腹部压痛均高于对照组(P<0.05),观察组患者溃疡大小2.1~3.0 cm及>3.0 cm均高于对照组(P<0.05),观察组患者的并发症发生率高于对照组(P<0.05)。结论:老年消化性溃疡的临床表现和内镜特点均具有特殊性,医护人员熟悉这些特征能够减少误诊误治的可能性。
Objective: To analyze the clinical characteristics and endoscopic features of peptic ulcer in the elderly. Methods: Eighty-four elderly patients with peptic ulcer admitted to our hospital from March 2013 to March 2015 were selected as the observation group. Another 92 non-elderly patients with peptic ulcer were enrolled in this study. The clinical characteristics and internal Mirror features. Results: Compared with the control group, NSAIDs in the observation group were significantly different (P <0.05). The patients in the observation group were higher in non-rhythmic abdominal pain, belching acid reflux and upper abdominal tenderness than those in the control group (P <0.05). The ulcer size in the observation group was 2.1-3.0 cm and> 3.0 cm, respectively (P <0.05). The complication rate in the observation group was higher than that in the control group (P <0.05). Conclusion: The clinical manifestations and endoscopic features of peptic ulcer in the elderly are both peculiar. Familiarity with these characteristics can reduce the possibility of misdiagnosis and mistreatment.