局解手术学杂志2011，Vol.20Issue(4)：418-420,3.
103例老年消化性溃疡临床特征分析
Clinical features of peptic ulcer in 103 old-aged patients
李良玉1
作者信息
- 1. 总后勤部司令部管理保障局第一门诊部,北京,100500
- 折叠
摘要
Abstract
Objective To explore the clinical features of peptic ulcer in old aged patients. Methods Totally 231 patients with peptic ulcer were divided into old-aged group (n= 103 ) and young and middle aged group (n= 128 ). The causative factor, clinical manifestation,ulcer locus and size, complication, therapy and prognosis of the two groups were analyzed. Results In the two groups, non-steroid anti-inflammatory drugs( NSAIDS) related ulcer accounted for 21.4％ and 6.2％; Family and psychology related ulcer accounted for 7.7％ and 3.1％. In the two groups, the incidences of rhythmicity stomachache were 11.7％ and 26.6％; incidences of gastrelcosis were 54.4％ and 28.9％; incidences of duodenal ulcer were 35.0％ and 64.8％ (P ＜ 0.01 ). Incidences of bleeding, cancerization, perforation, pyloric obstruction in old aged group were much higher than those in the young middle age group. There were fewer ulcers with diameter of 1 cm or less than 1 cm but more ulcers with diameter more than 2 cm in old-aged group than in young and middle-aged group (33.01％ vs. 60. 1％;22.3％ vs. 14.1％ ) (P ＜ 0.01 ). The death rate and recurrence rate were much higher in old aged group. Conclusion Peptic ulcer in old aged patients is lack of typical clinical manifestation, mainly manifested as gastric ulcer. Sufficient attention should be paid to it since it is with more complications and higher recurrence and death rate关键词
消化性溃疡/老年患者/临床特征Key words
peptic ulcer/ old aged patients/ clinical features分类
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李良玉..103例老年消化性溃疡临床特征分析[J].局解手术学杂志,2011,20(4):418-420,3.
