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目的:探究胃溃疡患者的临床特点和胃镜特点表现.方法:选取新疆维吾尔自治区富蕴县人民医院2013-12/2015-06收治的120例胃溃疡患者作为研究对象,按年龄分为老年组(n=60)和中青组(n=60),对所有患者给予胃镜检查后,比较两组患者的临床症状、胃镜病变部位及并发症情况.结果:中青组患者的规律性疼痛和反酸临床表现发生率高于老年组,差异具有统计学意义(P<0.05),老年组患者的不规律性疼痛和上腹饱胀临床表现发生率高于中青组,差异具有统计学意义(P<0.05);中青组患者的胃镜病变部位在胃窦,且比率高于老年组,差异具有统计学意义(P<0.05),老年组患者的胃镜病变部位在胃体和胃底贲门,且比率高于中青组,差异具有统计学意义(P<0.05);中青组患者的出血、穿孔、幽门梗塞等并发症发生率均低于老年组,差异具有统计学意义(P<0.05).结论:不同年龄段的胃溃疡患者具有不同的临床特点和胃镜特点,且年龄越大,病情越严重.
Objective: To investigate the clinical characteristics and endoscopic features of patients with gastric ulcer.Methods: One hundred and twenty patients with gastric ulcer admitted to Fuyun County People’s Hospital 2013-12 / 2015-06 in Xinjiang Uygur Autonomous Region were enrolled in this study, n = 60) and middle-aged group (n = 60) .All the patients underwent gastroscopy and compared the clinical symptoms, gastroscopic lesions and complications of the two groups.Results: The regular pain and reverse The incidence of clinical manifestations of acid was higher than that of the elderly group (P <0.05). The incidence of irregular pain and abdominal fullness in the elderly group was higher than that of the middle-aged group (P <0.05), and the difference was statistically significant (P <0.05). The gastroscopic lesion in the middle-aged and young patients was in the antrum and the ratio was higher than that in the elderly group (P <0.05). The gastroscopic lesions in the elderly patients were found in the gastric body and the gastric cardia, (P <0.05). The incidence of complications such as bleeding, perforation and pyloric infarction in the middle-aged and young patients was lower than that in the elderly patients (P <0.05), and the difference was statistically significant ) Conclusion: Gastric ulcer patients of different ages have different Clinical features and endoscopy features, and the older, the more serious the condition.