老年人十二指肠溃疡临床特征的探讨  

Study of the clinic characters on old patient duodenum ulcer

作　　者：陈剑鸣[1,2] 龚飞跃[1,2] 郑梅兰[1,2] 

机构地区：[1]广东省珠海市人民医院,519000 [2]暨南大学附属第三医院,519000

出　　处：《中华腹部疾病杂志》2006年第8期556-557,共2页Chinese Journal of Celiopathy

摘　　要：目的 探讨老年人病人十二指肠球部溃疡（DU）的临床特征和意义。方法 通过对同期临床中老年组和青年组DU病人不同年份的构成比、性别的构成比例、临床症状、镜下溃疡大小、并发症发生率、住院率及死亡率进行比较分析。结果 老年组DU病人不同年份的构成比逐年上升而青年组的则呈下降趋势，性别的构成比老年组女性所占比例较青年组显著升高，临床症状方面老年组病程较长，不规律腹痛和无痛者较青年组明显增多。另外，老年组溃疡较大、并发症发生率、住院率及死亡率也较青年组高。结论 老年组DU病人不同年份的构成比逐年上升而青年组则呈下降趋势；性别的构成比例老年组女性所占比例较青年组为高；老年DU是一种较青年人DU更为严重的疾病，可导致更严重的后果，应引起临床重视。AIM To study the clinic characters and meanings through a retrospective analysis between old patient group and young patient group. METHODS To compare the differences of constituent ratio at same period in different years and sex constituent ratio in different groups;and the clinic syndromes, disease history, sizes of ulcers under the endoscope, complication rates, hospitalization rates and mortality rate were also compared. RESULT The constituent ratio of old patient group is increasing meanwhile the young is decreasing annually. The female constituent ratio in old patient group is significantly higher than the young group. Duration of DU disease history in old patient group is longer than the young group, the rate of people who had irregular stomach ach and painless is higher than the young group, the size of ulcers are bigger and the rate of complications, hospitalization and mortality is significantly higher than the young one. CONCLUSION The constituent ratio of old patient group is increasing meanwhile the young is decreasing annually;The female constituent ratio in old patient group is significantly higher than the young group;DU in old people is a severe disease which can due to a more severe consequence and should be more made account of in clinic.

关 键 词：老年期 十二指肠溃疡 

分 类 号：R573.1[医药卫生—消化系统]