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目的分析老年人消化性溃疡的临床特点。方法选取232例患者,均经电子胃镜诊断为消化性溃疡,并分为两组。其中老年组(≥60岁)126例,中青年组(<60岁)106例。比较两组的发病原因、临床表现、溃疡的部位及并发症。结果①应用非甾体消炎药及饮酒老年人多于中青年人,两组比较差异有统计学意义(P<0.01);②与中青年组比较,老年组临床症状多表现不典型,两组比较差异有统计学意义(P<0.05);③老年人以胃溃疡多见且高位溃疡较多,而中青年以十二指肠球部溃疡较多,两组比较差异有统计学意义(P<0.05);④老年组并发上消化道出血较中青年组多,两组比较差异有统计学意义(P<0.05)。结论老年人消化性溃疡有其自身的特点如发病因素多、临床症状不典型、胃溃疡多见和并发症相对较重等特点,故在临床工作中应引起重视。
Objective To analyze the clinical features of peptic ulcer in the elderly. Methods A total of 232 patients were selected, all of whom were diagnosed as peptic ulcer by electronic endoscopy and divided into two groups. There were 126 elderly patients (≥60 years old) and 106 middle-aged patients (<60 years old). The incidence of the two groups, clinical manifestations, ulcer sites and complications were compared. Results ① There were more non-steroidal anti-inflammatory drugs and alcohol consumption in the elderly than in the middle-aged and young people, the difference between the two groups was statistically significant (P <0.01); ② Compared with the middle-aged and young group, (P <0.05); (3) The elderly were more common in gastric ulcer and high ulcers, while the duodenal ulcer in middle-aged and young more, the difference between the two groups was statistically significant (P <0.05). ④ The elderly patients with upper gastrointestinal bleeding more than the young group, the difference was statistically significant (P <0.05). Conclusion Peptic ulcer in the elderly has its own characteristics such as the incidence of multiple factors, clinical symptoms are not typical, more common gastric ulcer and complications are relatively heavy and so on, so in clinical work should pay attention.