内科

目的探讨北海市福成镇老年与中青年消化性溃疡患者的临床特征。方法收集2010年1月至2012年12月北海市福成镇卫生院收治的老年性消化性溃疡（年龄≥60岁，118例）及中青年消化性溃疡（年龄＜60≥18岁，120例）患者的临床资料，对比分析其溃疡发病原因、发生部位、溃疡面积及临床表现。结果老年组消化性溃疡患者口服非甾体类抗炎药的比例、胃溃疡的发病率、胃底及贲门溃疡的发病率、巨大溃疡的发生率、腹部隐痛或胀痛、呕血、黑便及无症状的发生率明显高于中青年组（P＜0.05），老年组十二指肠溃疡的发病率、节律性腹痛发生率明显低于中青年组（P＜0.05）。结论老年与中青年消化性溃疡临床特征存在较大的差异，老年因基础病及机体生理状况等方面原因，临床表现多不典型，临床上接诊时应提高警惕。

ObjectiveTo investigate the clinical charscteristics of peptic ulcer in young and elderly patients from Beihai Fucheng Town. MethodsClinical data of 118 elderly patients with peptic ulcer and 120 young patients with peptic ulcer during January 2010 and December 2012 in Health Center of Beihai Fucheng Town were retrospectively analyized, and the causes of disease, ulcer location, area of ulcer and clinical manifestations of the two groups were compared. ResultsThe proportion of oral non-steroidal anti-inflammatory drugs as well as the incidence of gastric ulcers, gastric fundus ulcers, cardia ulcer, huge ulcer, abdominal dull pain or swelling pain, hematemesis, melena, and asymptomatic in the elderly group, were higher than those in young group(P＜0.05), while the incidence of duodenal ulcer and rhythmic abdominal pain in elderly group were significantly lower than that in the young group(P＜0.05).ConclusionThere is a great difference in clinical characteristics between elderly and young patients with digestive ulcer. Due to basic diseases, physiological conditions and other reasons, the manifestations of elder patients were atypical, and clinical admissions should be vigilant.

ref