不同年龄段儿童消化性溃疡142例临床分析

Clinical analysis of 142 cases of peptic ulcer in children of different ages

目的探讨不同年龄段儿童消化性溃疡的发病特点。方法将142例小儿消化性溃疡患儿按照年龄段分为婴幼儿组（〈3岁）、学龄前组（3岁-6岁）、学龄期组（7岁-11岁）以及青春期组（12岁-14岁）,对4组患儿临床资料进行回顾性分析。结果学龄前（52例,36.6%）和学龄期儿童（66例,46.5%）构成比较高,婴幼儿（9例,6.3%）和青春期儿童均较低（15例,10.6%）。4组儿童消化性溃疡发病部位、溃疡合并症、溃疡分布及Hp感染情况差异均有统计学意义（P〈0.05）结论消化性溃疡发病与年龄有明显的关系,学龄期及学龄前儿童是高发人群,十二指肠是好发部位,一般呈多发性分布,患儿随着年龄增加Hp感染率增加,且容易合并浅表性胃炎等疾病。

Objective To investigate the characteristics of peptic ulcer in children with different ages. Methods 142 cases of pediatric peptic ulcer were divided into four groups according to age：infants children group（〈3 years old）,preschool age group（3-6 years old）,school age group（7-11 years old）and adolescent group（12-14 years old）.Results The composition ratio of school age children（66 cases,46.5%）and preschool age children（52 cases,36.6%）were relatively high,while Infants children（9 cases,6.3%）and adolescent children（15cases,10.6%）were lower.In the incidence of peptic ulcer,ulcer complications,ulcer and Hp infection,the different between four groups were statistically significant（P〈0.05）.Conclusion The incidence of peptic ulcer disease relates with age obviously,school age and preschool age children are the high risk population,duodenal is the high risk site,and general distributes in multiple;with the increase of age,HP infection rate increases simultaneously,and always combines other diseases such as superficial gastritis.