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老年消化性溃疡300例 被引量:8

Elderly patients with peptic ulcer in 300 cases
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摘要 目的探讨老年消化性溃疡的临床特点。方法对胃镜检查出的300例老年消化性溃疡和同期257例中青年溃疡的临床资料加以对照。结果老年组临床症状不典型,有节律性上腹部疼痛症状仅占20%,而中青年组占64.2%。老年组较青年组溃疡平均直径大,高位胃体溃疡、上消化道出血等并发症多见,差异有统计学意义(P<0.05)。结论针对老年消化性疡的特点,60岁以上老年人出现原因不明的上腹部不适等症状,应常规做胃镜检查,治疗应更为积极。 Objective To study the clinical characterisics of elderly peptic ulcer. Methods The clinical data were compared between the eld-group(300 cases of elderly puptic ulcer) and the youngmid-group(257 cases of young-middle-aged puptic ulcer). Those patients were diagnosed by endoscopy in the same period. Results Clinical symptoms were not typical in the eld-group. Only 20% of the patients had rhythm pain in the upper abdomen in the eld-group,but 64. 2% in the young-mid-group. The average diameter of ulcers in the eld-group was larger than that in the young-mid-group. High region ulcers and complications such as upper gastrointestinal bleeding occurred more frequently in the eld-group( P〈0.05). Conclusion Elderly people over 60 years old should accept routine endoscopy when unexplained upper abdominal discomfort occured,and the relevant treatment should be more active.
出处 《临床医学》 CAS 2010年第2期9-10,共2页 Clinical Medicine
关键词 老年人 消化性溃疡 胃镜 Elderly people Puptic ulcer Endoscopy
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  • 1李益农 陆星化.消化内镜学[M].北京:人民卫生出版社,1998.220-225. 被引量:47
  • 2Yamada T,Alpers D,Owyang C,et al.Textbook of Gastroenterology 2nd ed,Philadelphia:JB LIppincott Co,1999,1373~1379. 被引量:1
  • 3Linder JD,Wilcox CM.Acid peptic disease in the elderly.Gastroenterol Clin North Am,2001,30:368~376. 被引量:1

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