老年人消化性溃疡内镜及临床的的特点分析.docVIP

老年人消化性溃疡内镜及临床的的特点分析 　　摘要：目的 分析老年人消化性溃疡内镜和临床特点。方法 选取本院2014年12月～2015年12月收治的消化性溃疡106例患者作为研究对象，将其分为两组：对照组和观察组，对照组是46例接受抗消化性溃疡治疗的中青年患者，实验组是60例同期接受抗消化性溃疡治疗的老年患者，对两组的内镜及临床特点进行分析对比。结果 实验组患者出现上腹疼痛、消化道出血、癌变、穿孔、梗阻以及并发症等的发生率明显高于对照组，两组比较具有显著性差异（P0.05）；在内镜观察方面，观察组巨大溃疡发生率（33.3%）明显高于对照组（17.4%）；其小溃疡发生率（13.3）明显低于对照组（32.6）；两组比较具有显著性差异（P0.05）。结论 老年人消化性溃疡的临床表现不具备典型性，同时发生并发症的几率较高，对病情的控制难度较大，应该加强内镜检查，以便病症得到及时的治疗。 　　关键词：老年人；中青年；消化性溃疡；内镜 　　Abstract：Objective To analyze the elderly peptic ulcer endoscopy and clinical features. Methods Our hospital in December 2014～December 2015， 106 patients with peptic ulcer treated as the research object， it can be divided into two groups： control group and observation group， control group is 46 cases treated peptic ulcer of middle-aged and young patients， the experimental group was 60 cases anti peptic ulcer treated elderly patients at the same time， the two groups of endoscopic and clinical features were analyzed. Results The patients with upper abdominal pain， gastrointestinal bleeding， canceration， perforation， obstruction， and the incidence of complications such as significantly higher than the control group， comparing the two groups have significant difference（P0.05）； In terms of endoscopic observation， huge ulcer （33.3%）， the incidence of observation group was obviously higher than that of control group（17.4%）. Its small ulcer incidence（13.3）， significantly lower than the control group （32.6）； Comparing the two groups have significant difference（P0.05）. Conclusion The clinical manifestations of the elderly peptic ulcer doesnt have typicality， risk of complications is higher at the same time， the control of the disease is difficult， should strengthen the endoscopic examination， in order to get timely treatment. 　　Key words：The elderly；Young and middle-aged；Peptic ulcer；Endoscopy 　　消化性溃疡属于内科临床上一种常见的疾病，诱发此病的原因为：患者体内胃酸分泌过多或者是幽门螺杆菌感染，导致胃粘膜防御能力降低，从而引发此病[1]。目前，由于我国人口老龄化的进程较快，导致此病在老年群体的发生率逐渐上升，影响了老年人的身体健康以及生活质量。本文针对老年人消化性溃疡内镜及临床特点进行了分析，现报道如下。 　　1资料与方