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目的了解南宁市老年消化性溃疡发病学特点。方法对南宁市17家医院1992年至1997年间经胃镜检查诊断为消化性溃疡的老年病例进行回顾性分析。结果①6年间共检出老年消化性溃疡人数为2401例,占同期溃疡病人数的9.90%,其中老年男性溃疡病人数1785例,老年女性溃疡病人数616例。男女之比为2.90∶1,两者之比差异有统计学意义(P<0.05)。②老年病人中共检出溃疡部位数2901个,其中十二指肠部位数为2189个,胃溃疡部位数709个,食管溃疡部位数3个,复合性溃疡部位数102个。③溃疡病的发病季节以冬季为最高峰,春季次之,秋季第三,夏季最低,冬春季与夏秋季比较,差异有统计学意义(P<0.05)。结论南宁市老年消化性溃疡男性发病率明显高于女性,发病季节以冬季为最高峰,发病人群主要集中在60~64岁,65~69岁年龄段,十二指肠溃疡发病明显高于胃溃疡。
Objective To understand the characteristics of peptic ulcer in Nanning. Methods A retrospective analysis was performed on elderly patients diagnosed as peptic ulcer by gastroscopy from 17 hospitals in Nanning from 1992 to 1997. Results ① The number of elderly peptic ulcer was 2401 cases in 6 years, accounting for 9.90% of the number of ulcer patients in the same period. Among them, there were 1785 elderly patients with ulcer and 616 elderly patients with ulcer. The ratio of male to female was 2.90: 1, the difference between the two was statistically significant (P <0.05). ② Elderly patients detected 2901 ulcer sites, including 2189 duodenal sites, 709 gastric ulcer sites, 3 esophageal ulcer sites and 102 ulcer sites. ③ The onset of ulcer disease was the highest in winter, followed by spring, the third in autumn and the lowest in summer, the difference was statistically significant between winter and spring and summer and autumn (P <0.05). Conclusion The incidence of peptic ulcer in elderly patients in Nanning City is significantly higher than that in women. The onset season is the highest in winter, and the incidence is mainly in the age group of 60-64 years, 65-69 years old. The incidence of duodenal ulcer is significantly higher than that of the stomach ulcer.