老年消化性溃疡的临床与内镜特点探讨  

作　　者：张亮[1] 

机构地区：[1]常州市第二人民医院消化内科,213003

出　　处：《当代医学》2012年第29期120-121,共2页Contemporary Medicine

摘　　要：目的探讨和研究老年患者消化性溃疡的临床特点和内镜下表现。方法选取2008年1月～2011年1月收治的174例消化性溃疡患者的临床资料作为研究对象,按照年龄分为观察组和对照组各87例,其中观察组患者年龄在60岁以上,对照组患者年龄分布则在21～49岁之间,比较两组患者的临床症状、溃疡部位、并发症等指标。结果观察组患者胃痛不典型,观察组十二指肠溃疡的发病率明显低于对照组,差异具有统计学意义(P<0.05);镜下观察发现观察组患者在胃体、贲门和胃底部溃疡、巨大溃疡的发生均明显高于对照组,差异具有统计学意义(P<0.05)。结论老年消化性溃疡患者的临床症状并不典型,而且并发症发生率较高,容易造成漏诊、误诊,需要结合病史做出诊断,必要时进行胃镜检查进行确诊。Objective To study the clinical characteristics and endoscopic features in elderly patients with peptic ulcer. Methods 174 cases of peptic ulcer from January 2008 to January 2011 in our hospital, which was divided into two groups according to the age, the observation group and the control group, 87 cases in each group.the observation group of patients over 60 years of age, the control group patients age distribution in 21- 49 years old.Compare the the main symptoms, ulcer site, complications of thetwo groups. Results The observation group with peptic ulcer stomach is not typical, and the duodenal ulcer incidence was lower than the control group, the difference was statistically significant （P〈0.05）; Endoscopic observation, the incidence of gastric body ulcer, cardia and gastric ulcer, the bottom large ulcers were significantly higher than those in the control group, the difference was statistically significant （P〈0.05） of the gastric. Conclusion Clinical symptom is not typical in elderly patients with peptic ulcer and has a higher complication rateeasily lead to misdiagnosis or missed diagnosis. So We need to combine the history make the diagnosis, if necessary by gastroscopy diagnosis.

关 键 词：消化性溃疡 老年 电子胃镜 

分 类 号：R573.1[医药卫生—消化系统]