论文部分内容阅读
目的:探讨老年消化性溃疡的临床特点与治疗方案的选择。方法:对本院2002年1月1日至2007年12月30日胃镜检查证实为消化性溃疡者352例行回顾性分析,其中老年消化性溃疡60例,占17.0%。对60例老年性消化道溃疡临床特点进行分析,并与同期非老年组进行比较。结果:①多数老年病例缺乏典型的上腹部节律性疼痛和周期性发作,而以上腹不适、腹胀、呃逆、纳差、嗳气等症状较明显突出,因此对症状不典型老年人应行胃镜检查,以便明确诊断,及时治疗;②部分患者治疗后症状缓解不明显,延长治疗时间可提高疗效;③老年组胃溃疡高于十二脂肠球部溃疡,消化道出血、穿孔、幽门梗阻、癌变等并发症高于非老年组。结论:老年消化性溃疡具有临床症状表现不典型、病程较长、并发症多、伴随疾病多、病死率高等特点,治疗上宜选用质子泵抑制剂、胃粘膜保护剂和根除HP的药物治疗。
Objective: To explore the clinical features of elderly peptic ulcer and treatment options. Methods: The hospital from January 1, 2002 to December 30, 2007 endoscopy confirmed peptic ulcer 352 routine retrospective analysis, of which 60 cases of elderly peptic ulcer, accounting for 17.0%. The clinical features of 60 cases of senile peptic ulcer were analyzed and compared with the non-elderly group in the same period. Results: ① Most elderly patients lack typical rhythmic and periodic episodes of upper abdomen. However, symptoms such as abdominal distension, bloating, hiccups, anorexia, belching and so on are more conspicuous. Therefore, gastroscopy should be performed on atypical elderly patients, In order to confirm the diagnosis, timely treatment; ② some patients after symptom? My relief is not obvious, prolonged treatment time can improve the curative effect; the elderly group of gastric ulcer is higher than the dodecylcholine ulcer, gastrointestinal bleeding, perforation, pyloric obstruction, canceration Complications than non-elderly group. Conclusion: The clinical manifestations of peptic ulcer in elderly patients with atypical symptoms, longer duration, more complications, with more diseases, high mortality, the treatment should be selected proton pump inhibitors, gastric mucosal protective agent and eradication of HP drug treatment.