中青年与老年胃溃疡差异分析  

AN ANALYSIS OF THE DIFFERENCE BETWEEN YOUNG OR MIDDLE AGED AND ELDERLY PATIENTS WITH GASTRIC ULCER

作　　者：牟卫平[1] 许春华[1] 陈传福[1] 吴广利[1] 牟爱芹[1] 崔淑华[1] 朱培华[1] 

机构地区：[1]滨州医学院附属医院,滨州市256603

出　　处：《滨州医学院学报》2002年第4期252-253,共2页Journal of Binzhou Medical University

摘　　要：目的 :总结老年性胃溃疡的特点。方法 :比较 1 0 5例 60岁以上及 2 81例 60岁以下胃溃疡的发病因素、临床表现及内窥镜发现 ,并分析其差异。结果 :发病因素在老年人中非类固醇抗炎药 ( NSAIDs)的影响明显增加 ( P<0 .0 5 ) ,吸烟及 HP感染亦有增加 ;作为溃疡典型表现的上腹痛老年患者明显减少 ( P<0 .0 5 ) ,消瘦、厌食、胸肩背部痛及吞咽痛增加 ;老年胃体、胃底高位溃疡发生率增高 ( P<0 .0 5 ) ,直径 1 .5～ 2 .5 cm的较大溃疡亦明显增加 ( P<0 .0 5 )。结论 :胃溃疡老年与中青年对比发生了较多变化 。Objective:To review the characteristics of gastric ulcer in elderly patients.Methods:The pathogenic factors in patients with gastric ulcer above 60 were compared with those in ones below 60.The clinical and endoscopic findings were analysed.Results:NSAIDs,smoking,and HP infection were the most important pathogenic factors for gastric ulcer in elderly patients( P <0 05).The incidence of inertia,anorexia,leanness,swallow difficulty,pain on the shoulder and chest,and high gastric ulcer increased apparently,but that of upper abdominal pain decreased in elderly patients.Conclusion:The characteristics of gastric ulcer were different in young and elderly patients,which doctors should keep an eye on.

关 键 词：老年人 中青年人 胃溃疡 发病因素 临床表现 内窥镜 年龄差异 

分 类 号：R573.1[医药卫生—消化系统]