86例老年消化性溃疡的临床及内镜分析  

Clinical and Gastroscopic Characteristics of Peptic Ulcer in Elderly People

作　　者：刘洋[1] 黄玉凯[1] 

机构地区：[1]安徽省淮南市第一人民医院消化科,232007

出　　处：《中华全科医学》2011年第9期1371-1372,共2页Chinese Journal of General Practice

摘　　要：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 explore the clinical and gastroscopic characteristics of peptic ulcer in elderly people. Methods The clinical and gastroscopic characteristics of 62 aged patients with peptic ulcer（ geriatric group） were analyzed and compared to the young and middle-aged patients （ control group）. Results Typical upper abdominal pain, non-specific symptoms, no symptom and rate of accompanied diseases in geriatric group were 10.4% ,30.2% ,22% ,58. 1%, respectively; while these were 48.6%, 15.3 %, 5.5 % and 20.8 % in the control group, respectively （ P 〈 0.01 ）. Incidence of top gastric ulcer, duodenal ulcer and huge ulcer in geriatric group were 25.6% ,27.9% and 10.5% ,respectively;while these in the control group were 9.7% ,59.7% and 2.7% ,respectively （ P 〈 0. 01 ）. There was no significant difference in the positive rate of Hp between the two groups. Conclusion The patients with peptic ulcer in geriatric group are less typical abdominal pain no symptoms, high rate of accompa- nied diseases, high incidence of top gastric ulcer. ]

关 键 词：老年性消化性溃疡 临床特点 胃镜 

分 类 号：R573.1[医药卫生—消化系统]