老年性消化性溃疡2455例胃镜诊断及临床分析

Gastroscopic and clinical analysis of 2455 cases with peptic ulcer in the aged

目的了解地区性老年性消化性溃疡(PU)的发病特点。方法对该院10年内经胃镜确诊的2455例老年性PU患者进行回顾性分析,并与同期5567例非老年PU患者的临床及胃镜结果进行对比分析。结果老年组PU检出率23.10%,胃痛多不典型,DU与GU发病比例,老年组1.19:1.00,非老年组2.41:1.00,两组差异有显著性(P<0.001)。溃疡发生部位老年组胃体、贲门、胃底溃疡、巨大溃疡均明显高于对照组。并发症两组差异有显著性(P<0.001)。结论老年性PU的检出率逐年上升,胃溃疡构成比高,症状不典型,巨大溃疡常见,并发症发生率高,出血是最常见的并发症。

【Objective】To find out regional epidemiological feature of peptic ulcer(PU) in the aged.【Methods】A retrospective study was conducted on 2 455 aged cases with PU diagnosed by endoscopy from 1998 to 2007,and we compared them with 5 567 cases with PU at the same period under the age of 60.【Results】The detecting rate of PU in the aged was 23.10%.The gastralgia was often typical in the aged.The incidence ratio of DU to GU in aged group was 1.19:1.As compared with that of 2.41 in control group,there was significa...