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老年人患胃溃疡与青年人有许多不同之处,从临床看,老年人胃溃疡的患病率高,治愈所需时间长。复发率高。作者经验是,45～50岁与75岁以上的两组患者与其他年龄层相比,有治愈率降低的趋势。认为这可能与老年患者的胃粘膜老化有关。但有关溃疡病与老化的胃生理与病理组织学改变的相关性,研究得尚少。最近,Farinati氏对老化与胃部病变的关系报告如下:以138例经内镜与活检确诊的良性胃溃疡病患者为对象,从30岁起,每10岁为一组进行分析。发现以41—50岁组的患病率最高,与其它较之年轻或年老各组相比均有有意义升高。12个月以内或以后的复发率为44%,也明显高于其它年龄组。经组织学确诊,胃前庭与胃底部的慢性萎缩性胃
There are many differences between the elderly people suffering from gastric ulcer and young people. From the clinical point of view, the prevalence of gastric ulcer in the elderly is high, and it takes a long time to cure. The recurrence rate is high. The author’s experience is that the rate of cure is decreasing in the two groups of patients 45 to 50 years old and over 75 years old compared with other age groups. It is thought that this may be related to the aging of gastric mucosa in elderly patients. However, the correlation between gastric physiology and histopathological changes related to ulcer disease and aging has not been studied. Recently, Farinati’s report on the relationship between aging and gastric lesions was reported as follows: 138 patients with benign gastric ulcers diagnosed by endoscopy and biopsy were enrolled. From the age of 30, every 10 years of age were analyzed. The highest prevalence was found in the 41-50-year-old group, which was significantly higher than in the younger or older groups. The relapse rate within or after 12 months was 44%, which was also significantly higher than other age groups. Confirmed by histology, chronic atrophic stomach with stomach vestibular and stomach bottom