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目的探讨老年性消化性溃疡的临床及内镜特点。方法分析86例经胃镜确诊的老年性消化性溃疡患者的主要临床症状及胃镜检查特点,并与同期中青年消化性溃疡进行比较。结果老年组典型上腹痛、非特异性症状、无症状、伴随疾病率依次为10.4%、30.2%、22%、58.1%,同对照组的48.6%、15.3%、5.5%、20.8%相比较差异均有统计学意义(P<0.01);老年组高位溃疡、十二指肠球部溃疡、巨大溃疡发生率(25.6%、27.9%、10.5%),同对照组(9.7%、59.7%、2.7%)比较差异有统计学意义(P<0.01);两组间Hp检出率差异无统计学意义(P>0.05)。结论老年性消化性溃疡患者典型上腹痛少,无症状及非特异性症状多,伴随疾病多,高位溃疡及巨大溃疡发生率高。
Objective To investigate the clinical and endoscopic features of senile peptic ulcer. Methods 86 cases of senile peptic ulcer diagnosed by gastroscope were analyzed. The main clinical symptoms and characteristics of gastroscopy were compared with those of middle-aged and young peptic ulcer. Results The incidence of typical upper abdominal pain, nonspecific symptoms and asymptomatic symptoms in the elderly group were 10.4%, 30.2%, 22% and 58.1%, respectively, compared with 48.6%, 15.3%, 5.5% and 20.8% in the control group (P <0.01). The incidence of high ulcer, duodenal ulcer and ulcer in the elderly group was significantly higher than that in the control group (9.7%, 59.7%, 2.7% ) (P <0.01). There was no significant difference in the detection rate of Hp between the two groups (P> 0.05). Conclusions The patients with senile peptic ulcer typically have few upper abdominal pain, many asymptomatic and nonspecific symptoms, high morbidity, high ulcers and huge ulcers.