摘要
目的了解、分析老年消化性溃疡的临床特点,对诊断和治疗提出指导。方法对1993年10月～2006年5月在我院住院的老年消化性溃疡共164例,观察其主要症状、并发症、所伴随的慢性疾病情况、胃溃疡发生的部位。结果表现为上腹痛仅91例,占55.5%,规律痛仅27例,占16.5%。老年胃溃疡与十二指肠溃疡上腹痛比率无差别,而规律痛发生率以胃溃疡更低、合并出血发生率高,占70.1%。胃窦溃疡<70岁组为59.1%,≥70岁组为27.6%(P<0.05),胃体、胃底及贲门溃疡合计<70岁组为25.0%,≥70岁组为51.7%(P<0.05).结论老年消化性溃疡症状不典型,合并出血发生率高,高位胃溃疡发生率高。
Objective To explore the characteristics of peptic ulcer in the aged in relation to diagnosis and treatment. Methods Analysis was made regarding location of ulcer, symptom, assident other disease and frequency of complications in 164 cases of peptic ulcer in the aged hospitalized from October of 1993 to May of 2006. Results There are only 91 cases have upper abdominal pain, which is 55. 5% of total cases. Otherwise, only 27 cases（16. 5%） abdominal pain have rhythmicity which was lower in gastric ulcer paitents. There is no significant difference to abdominal pain between gastric and duodenal ulcer. Upper gastrointestinal hemorrage in aged peptic ulcer is as high as 70.1%. 26 （59.1%） cases of sinus ventriculi ulcer was found in 34 aged paitents which age was less 70 years old. And 8 cases（27. 6%） was greater than or equal 70 years old（P〈0. 05）. 11 （25%）cases of body of stomach, gastric fundus and cardia ulcer were found in 26 aged paitents which age was less 70 years old. And 16 cases （51.7%） was greater than or equal 70 years old（P〈0. 05）. Conclusion Aged peptic ulcer symptom is not typical. There is high hemorrage rate in aged ulcer and superior position peptic ulcer in aged peptic ulcer is higher.
出处
《国际医药卫生导报》
2006年第18期16-18,共3页
International Medicine and Health Guidance News
