老年消化性溃疡的临床特点分析  

Clinical Characteristics of Peptic Ulcer in the Elderly

作　　者：苑坤[1] 齐玲芝[1] 

机构地区：[1]吉林省人民医院消化科,吉林长春130021

出　　处：《中国卫生标准管理》2016年第9期77-79,共3页China Health Standard Management

摘　　要：目的分析老年消化性溃疡的临床特点。方法选取我科2015年1月1日～12月31日收治的经胃镜及病理检查确诊的40例老年消化性溃疡患者人群定义为老年组。另外选取40例非老年消化性溃疡患者定义为中青年组,分析两组患者的临床特点。结果老年组胃溃疡的发病率高于中青年组,差异有统计学意义（P〈0.05）;老年组无典型腹痛、反酸症状的消化性溃疡发生率高于中青年组,差异有统计学意义（P〈0.05）;老年组并发消化道出血的发生率高于中青年组,差异有统计学意义（P〈0.05）;老年组伴随萎缩性胃炎的发生率高于中青年组。结论老年消化性溃疡以无典型腹痛、反酸症状的胃溃疡为主,易出现消化道出血等并发症,可伴随萎缩性胃炎。Objective To analyse the clinical characteristics of peptic ulcer in the elderly. Methods The clinical characteristics and endoscopic features of 40 elderly patients with peptic ulcer diagnosed by gastroscopy and pathological examination in our department from January 1,2015 to December 31,2015 were defined as the elderly group. In addition,the clinical data of 40 cases of non elderly patients with peptic ulcer were defined as the young group,and the clinical characteristics of the two groups were analyzed. Results Incidence of gastric ulcer in the aged group is higher than the young group, the difference was significant（P〈0.05）,elderly patients without typical abdominal pain, acid reflux symptoms of peptic ulcer occurrence rate is higher than in the young group,and the difference is statistically significant（P〈0.05）,elderly patients complicated with hemorrhage of upper digestive tract occurrence rate is higher than that in the young group, and the difference is statistically significant（P〈0.05）, in the elderly group with atrophy gastritis incidence was higher than that in the young group. Conclusion Peptic ulcer in the elderly with non typical abdominal pain,acid reflux symptoms of gastric ulcer,prone to complications such as hemorrhage of digestive tract,with atrophic gastritis.

关 键 词：消化性溃疡 老年 疗效 

分 类 号：R573[医药卫生—消化系统]