胃镜诊治老年性消化性溃疡的效果评估

Effect evaluation of gastroscope in the diagnosis and treatment of senile peptic ulcer disease

目的分析老年性消化性溃疡(PUD)的胃镜特点,评估其诊治效果。方法 100例PUD患者,按年龄分为观察组(≥60岁)和对照组(<60岁),每组50例。统计两组患者的易饥、嗳气、反酸、腹胀、腹痛、节律性发生情况以及胃溃疡发生率,并分析溃疡类型、溃疡部位和溃疡直径。结果观察组患者临床症状总发生率为84.0%,明显低于对照组的96.0%,差异具有统计学意义(χ~2=4.000,P<0.05)。观察组胃溃疡发生率(80.00%)明显高于对照组(26.00%),差异具有统计学意义(P<0.05)。两组溃疡主要发生在胃窦部位。结论老年性PUD是发生于老年期的主要疾病,多数患者症状不典型,以胃溃疡多见,直径多≥0.6 cm,多发生于胃窦部位。

Objective To analyze the gastroscopic features of senile peptic ulcer disease(PUD)andevaluate its diagnostic effect.Methods A total of100PUD patients were randomly divided into observationgroup(≥60years old)and control group(<60years old),with50cases in each group.Collection were made onoccurrence of predatory,belching,acid reflux,abdominal distension,abdominal pain,rhythm and the incidenceof gastric ulcer in two groups,and analysis were made on ulcer type,ulcer site and ulcer diameter.Results Theobservation group had obviously lower total incidence of clinical symptoms as84.0%than96.0%in the controlgroup,and the difference had statistical significance(χ2=4.000,P<0.05).The observation group had obviouslyhigher incidence of gastric ulcer(80.00%)than the control group(26.00%),and the difference had statisticalsignificance(P<0.05).Both groups had ulcer diameter mainly in the gastric antrum.Conclusion Senile PUD isthe main disease occurred in the elderly,and the symptoms are atypical in most patients.Gastric ulcer is morecommon,with diameter≥0.6cm,mainly in the gastric antrum.