老年消化性溃疡患者临床特征分析

Clinical features of elderly patients with peptic ulcer

[目的]探讨老年消化性溃疡患者的临床特征。[方法]回顾性分析80例老年消化性溃疡患者的临床资料,并与96例同期非老年患者临床资料进行比较。[结果]老年组患者与非老年组患者在首诊症状、溃疡发生部位、溃疡大小比较,差异有统计学意义(P<0.01);老年组患者中有非甾体类药物应用史者所占比例显著高于非老年组,差异有统计学意义(P<0.01);老年组上消化道出血发生率高于非老年组,差异有统计学意义(P<0.01)。[结论]认识并掌握老年消化性溃疡患者的临床特点,对于诊断、治疗和预防该病具有重要意义,从而可提高老年患者的生活质量。

[Objective]To explore the clinical features of elderly patients with peptic ulcer. [Methods]Clinical data of eighty cases of elderly patients with peptic ulcer were analysed retro-spectively and compared with those of 96 cases of non-elderly patients during the same period. [Results]There was significant difference in the first diagnosis symptoms, ulcer location, ulcer size between the two groups of patients （P〈 0. 01）. Elderly patients had higher portion of applying non-steroidal drugs history than non-elderly group（P〈0.01）. The incidence of upper gastrointestinal bleeding in elderly patients was significantly higher than non-elderly group（P〈0. 01）. [Conclusion]It is of great significance to understand and master the clinical feature of elderly patients with peptic ulcer, helpful for the diagnosis, treatment and prevention so as to improve the life quality of the elderly patients.