消化性溃疡患者100例临床分析

目的探讨消化性溃疡的发病特点和临床特点,为提高对疾病的认识、降低误诊率提供参考。方法回顾电子胃镜诊断的100例消化性溃疡患者,对其年龄、性别、症状特点、溃疡病变部位分布进行分析。结果 50岁以上人群以胃溃疡为主,50岁以下中青年人以十二指肠溃疡为主(P<0.05),男性消化溃疡患者高于女性,但差异无统计学意义,50岁以上患者主要表现为呕血黑便,50岁以下患者主要表现为腹痛腹胀、反酸烧心(P<0.05),同时十二指肠溃疡好发于球前壁15例(34.88%),胃溃疡好发在胃窦部16例(30.77%)。结论随着我国老年群体的不断增加,消化性溃疡的发病逐渐增加,因此需要重视老年人群的体检,并借助于胃镜确诊,减少误诊率,同时加大宣传力度,减少中青年人吸烟饮酒等不良生活习惯,提高生活质量。

Objective The study is aimed to analyze characteristic features of peptic ulcer disease in the patients.Methods 100 patients with peptic ulcer conifrmed by electronic endoscopy were recruited for the study. To analysis the age, sex, general symptoms and locations of ulcers. Results The morbidity of peptic ulcer in different age groups showed signiifcant difference （χ2= 37.312,P=0.000）,the patients over 50 years old were gastric ulcers, and the others were duodenal ulcer. There were no signiifcant difference （χ2=4.266,P=0.118） in male and female. Haematemesis and melema in older patients were more common than middle-aged groups. Stomachache, ventosity, sour regurgitation, heartburn in middle-aged groups were more common than older groups （χ2=30.306,P=0.000）. Duodenal ulcers were mainly found in front wall of duodenum 15 （34.88%）. Gastric ulcers were mainly found in antrum 16 （30.77%）.Conclusion With the increasing of older people. The morbidity of peptic ulcer were adding. It is more important to be aware of these characteristic for the diagnosis of senile peptic ulcer, and decrease some unhealthy living habit just like smoking and drinking, then it have a better and healthy life.