老年消化性溃疡80例临床分析

Clinical Analysis of 80 Aged Cases With Peptic Ulcer

目的探讨老年消化溃疡的临床特点。方眭对我院2002—2007年收治的80例老年人消化性溃疡并与同期住院的中青年（60岁以下）溃疡病例60例进行对比分析，对两组临床表现、并发症及胃镜检查结果等进行比较。结果老年组胃溃疡的发生率显著高于中青年组，而十二指肠溃疡的发生率显著低于中青年组。除幽门螺杆菌感染外，不良生活习惯和服用非甾体类抗炎药物是老年性消化性溃疡的常见诱发因素。幽门螺杆菌感染率老年组与同期中青年组消化性溃疡患者Hp感染率相似。结论老年消化性溃疡在临床表现和病变部位有其一定的特点，并发症多，临床上应引起重视。

Objective Discuss clinical characteristic of aged peptic ulcer. Method Comparative analysis between 80 cases of aged peptic ulcer and 60 cases of middle -aged（ below 60 year old）canker during 2002 - 2007 in my hospital, compare clinical situation,complication and Gastroscopy of two group. Result Gastric ulcer incidence rate of the aged group is higher than middle - aged,but duodenal ulcer incidence rate of the aged group is lower than middle - aged significantly. Except Helicobacter pylori, bad habits and taking non - steroid anti - inflammatory drug is the common causative factor to aged peptic ulcer. Helicobacter pylori infection rate of the aged is similar to the middle - aged with peptic ulcer HP infection rate. Conclusion Aged peptic ulcer has some feature in clinical situation and diseased region, has more complication, should cause attention in clinic.