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目的对不同年龄的消化性溃疡作分析,以提高对该病的诊治水平。方法将218例消化性溃疡患者分2组,老年组81例、中青年组137例,就二组不良影响因素、主要临床症状、溃疡灶部位、幽门螺杆菌检测、并发症和伴发病等进行比较分析。结果长期吸烟、饮酒、服用NSAIDS者在二组中均较高;38.3%老年人临床症状不典型;老年组胃溃疡占56.8%,高于于中青年组的21.2%(P<0.01);穿孔在各年龄组均多见,上消化道出血是老年人主要并发症之一;半数以上老年人溃疡伴发1种及以上慢性疾病。结论不同年龄的溃疡病特点各异,老年人溃疡病以不典型症状和胃角、高位、巨大溃疡多见,出血机率高,需治疗基础病,明确诊断,降低死亡率。
Objective To analyze peptic ulcer of different ages to improve the diagnosis and treatment of the disease. Methods 218 cases of peptic ulcer patients were divided into two groups, the elderly group of 81 cases, middle-aged group of 137 cases, the two groups of adverse effects, the main clinical symptoms, ulcer lesions, Helicobacter pylori detection, complications and associated diseases were comparative analysis. Results Long-term smoking, drinking and taking NSAIDS were higher in both groups. Clinical symptoms were not common in 38.3% of the elderly. Gastric ulcer in the elderly group was 56.8%, higher than that in the middle-aged group (21.2%, P <0.01) In all age groups are more common, upper gastrointestinal bleeding is one of the major complications of the elderly; more than half of the elderly with ulcer associated with one or more chronic diseases. Conclusions The ulcer disease has different characteristics at different ages. The elderly ulcer disease is characterized by atypical symptoms, gastric corner, high position and huge ulcer. The hemorrhage rate is high, and the underlying disease needs to be treated. The diagnosis and the mortality rate should be clearly determined.