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因年老而出现痛觉迟钝,有助于解释老年人患病时痛觉症状不典型或延迟出现。消化性溃疡(PUD)若无疼痛,则难以诊断。直到出现并发症如出血、穿孔或幽门狭窄时才被发现。研究者对患无腹痛PUD老年人和年轻人进行前瞻性研究。 病人和方法:经内镜检查确定溃疡存在,有龛的粘膜损伤至少3mm,且为暴露在胃液下的良性溃疡为研究对象,应用尿素酶法检查幽门螺杆菌(Hp),根据年龄分组,大于60岁者为老年组,49岁以下为年轻组。研究的中心目标
Painfulness due to old age may help to explain the atypical or delayed onset of pain symptoms in the elderly. Peptic ulcer (PUD) without pain, it is difficult to diagnose. Until complications such as bleeding, perforation or pyloric stenosis was found. Researchers prospectively studied elderly and young people with PUD without abdominal pain. Patients and Methods: The ulcer was confirmed by endoscopy. The mucosa with niche injury was at least 3 mm. The benign ulcer exposed to gastric juice was used as the study object. Helicobacter pylori (Hp) was examined by urease method and grouped according to age, 60-year-old group for the elderly, under 49 years of age for the young group. The central goal of research