老年消化性溃疡临床和病理特征分析  

Analysis on Clinical and Pathological Characteristics of Senile Peptic Ulcer

作　　者：程新 于国俊[2] CHENG Xinl;YU Guojun(Department of Geriatrics, Zhengzhou Hospital of Traditional Chinese Medicine, Henan Province, Zhengzhou 450007, China;Department of Nephropathy, the Affiliated Hospital of Henan Academy of traditional Chinese Medicine, Henan Province, Zhengzhou 450007, China)

机构地区：[1]郑州市中医院老年病一科,河南郑州450007 [2]河南省中医药研究院附属医院肾病科,河南郑州50007

出　　处：《光明中医》2018年第6期759-761,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的探讨老年消化性溃疡的临床特征和病理特点。方法对我院于2016年2月—2017年1月间收治的122例消化性溃疡患者病例资料进行回顾性分析。分老年组和非老年组。其中老年组52例,非老年组70例。对比分析2组患者消化性溃疡的临床特征和病理特点。结果 2组患者在上腹饱胀、不典型上腹痛、呕血黑便对比上差异显著,且P<0.05,有统计学意义;2组患者在临床特点对比上差异显著,且P<0.05,有统计学意义。2组患者在Hp感染检出率对比差异明显,且P<0.05,有统计学意义。2组患者在胃溃疡和十二指肠溃疡的对比中差异显著,且P<0.05,有统计学意义。结论老年消化性溃疡临床表现多不明显,多数病理特征相较中青年患者有改变。患者病情的诊断仍需胃镜和病理诊断。老年患者生理状态的特殊性,使得及早诊断和及早干预治疗消化性溃疡变得十分迫切,避免消化性溃疡癌变危及生命。Objective To investigate the clinical and pathological features of peptic ulcer in the elderly. Methods The clinical data of 122 patients with peptic ulcer treated in our hospital from February 2016 to January 2017 were analyzed retrospectively. They were divided into elderly group and the non-elderly group. Among them,52 cases were in the elderly group and 70 cases were in the non-elderly group.Comparative analysis of two groups of patients with peptic ulcer clinical characteristics and pathological characteristics was made.Results The abdominal distension,atypical upper abdominal pain,melena of the two groups had significant difference P 0. 05,and there was statistical significance between the two groups. There was significant difference between the two groups in gastric ulcer and duodenal ulcer（ P 0. 05）,and there was statistical significance. Two groups of patients in the HP infection detection rate difference were obvious,and P 0. 05,and there was statistical significance. The difference between the two groups in gastric ulcer and duodenal ulcer was significant P 0. 05,and the difference was statistically significant. Conclusion The clinical manifestations of peptic ulcer in the elderly are not obvious,and most of the pathological features are changed comparing with the young and middle-aged patients. The diagnosis of patients still needs endoscopic and pathologic diagnosis. The particularity of the physiological state of elderly patients is that early diagnosis and early intervention in the treatment of peptic ulcer become very urgent to avoid peptic ulcer cancelation endanger life.

关 键 词：老年患者 消化性溃疡 病理特征 

分 类 号：R573.1[医药卫生—消化系统]