老年消化性溃疡200例临床与内镜特点探讨  

Clinical and endoscopic characteristics exploration of 200 cases of elderly patients with peptic ulcer

作　　者：龚明素[1] Gong Mingsu(Department of Gastroenterology,Guizhou Aerospace Hospital(Zunyi)563000)

机构地区：[1]贵州航天医院消化内科,遵义563000

出　　处：《中国社区医师》2018年第22期93-94,共2页Chinese Community Doctors

摘　　要：目的:探究老年消化性溃疡的临床与内镜特点。方法:收治老年消化性溃疡患者200例作为观察组,中青年消化性溃疡患者274例作为对照组。分析老年消化性溃疡临床与内镜特点。结果:观察组典型临床表现、消化道出血症状、反酸/嗳气的发生率高于对照组。观察组并发症发生率高于对照组,差异有统计学意义(P<0.05)。观察组溃疡部位为胃窦(29.50%)、胃角(16.50%)的概率明显高于对照组(14.60%、5.47%),差异有统计学意义(P<0.05)。对照组溃疡部位为十二指肠的概率(74.45%)明显高于观察组(38.00%),差异有统计学意义(P<0.05)。结论:老年消化性溃疡具有临床特征典型性不明显、并发症多、溃疡位置高及溃疡面积大的特点。Objective:To explore the clinical and endoscopic characteristics of elderly patients with peptic ulcer.Methods:200 cases of elderly patients with peptic ulcer were treated as the observation group and 274 cases of middle and young patients with peptic ulcer were treated as the control group,the clinical and endoscopic characteristics of peptic ulcers in the elderly were analyzed.Results:The incidence of typical clinical manifestations,gastrointestinal bleeding symptoms and acid regurgitation/belching in the observation group was higher than that in the control group,and the incidence of complications in the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The risk of gastric ulcer and gastric antrum in the observation group(29.50%,16.50%)was significantly higher than that in the control group(14.60%,5.47%),and the difference was statistically significant(P<0.05).The risk of duodenal ulcer in the control group(74.45%)was significantly higher than that in the observation group(38%),and the difference was statistically significant(P<0.05).Conclusion:Peptic ulcer in elderly patients was characterized by typical clinical features,many complications,high ulcer location and large ulcer area.

关 键 词：消化性溃疡 胃镜检查 临床特点 

分 类 号：R573.1[医药卫生—消化系统]