老年消化性溃疡患者69例临床与胃镜特点分析

Clinical and gastroscopic characteristics of 69 elderly patients with peptic ulcer

目的:分析老年患者消化性溃疡的临床与胃镜特点。方法:收治老年消化性溃疡患者(≥60岁)69例作观察组,另选取同期收治中青年消化性溃疡患者(20～49岁)69例作对照组。对两组患者均行胃镜检查,观察比较两组患者的溃疡类型、胃溃疡部位、胃溃疡大小、并发症情况等。结果:观察组患者中胃溃疡占49.28%,显著高于对照组的28.99%;观察组患者中胃体溃疡占18.84%,显著高于对照组的2.90%;观察组患者中直径>2 cm的溃疡占29.41%,显著高于对照组的10.00%;观察组患者中伴上消化道出血者和癌变者(43.48%、7.25%)显著多于对照组(21.74%、0.00%),差异均有统计学意义(P<0.05)。结论:老年消化性溃疡临床症状不典型,溃疡面积较大,溃疡部位由幽门向贲门推移,并发症较多且严重,有必要进行胃镜检查。

Objective:To analyze the clinical and gastroscopic features of peptic ulcer in elderly patients.Methods:69 elderly patients with peptic ulcer(60 years old and above)were selected as the observation group,another 69 cases of peptic ulcer(20~49 years old)were selected as the control group.Gastroscopy was performed in both groups.The types of ulcer,the location of gastric ulcer,the size of gastric ulcer and the complications were observed and compared between the two groups.Results:The gastric ulcer 49.28% in the observation group was significantly higher than that in the control group(28.99%).The gastric ulcer in the observation group was 18.84%, which was significantly higher than that in the control group(2.90%).Among the observation group, the ulcers with a diameter of 2 cm or more accounted for 29.41% of the ulcers significantly higher than the control group of 10.00%.The patients with upper gastrointestinal bleeding and canceration in the observation group(43.48%,7.25%)were significantly higher than those in the control group(21.74%,0.00%).The differences were statistically significant(P<0.05). Conclusion:The clinical symptoms of peptic ulcer in the elderly are atypical,the ulcer area is large,and the ulcer site is moved from the pylorus to the cardia.The complications are more serious,and it is necessary to perform gastroscopy.