| 摘要: |
| ［目的］ 探讨老年性胃溃疡的发病机制及临床特征。［方法］ 对105例60岁以上的老年性胃溃疡（老年组）及281例60岁以下胃溃疡患者（非老年组）的临床和内窥镜资料进行回顾性比较分析。［结果］ 老年组在发病机制、溃疡位置及大孝临床症状、并发症等方面与非老年组均有明显的差异（P＜0.01及P＜0.05） 。［结论］ 老年性胃溃疡发病机制以非甾体类抗炎药(NSAIDs)多见，症状不典型，并发症多，高位溃疡及巨大溃疡发生率高，应引起临床医师重视。 |
| 关键词: 胃溃疡 老年人 病理 |
| DOI：10.11724/jdmu.2005.04.11 |
| 分类号:R573.1 |
| 基金项目: |
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| Clinical analysis of 105 cases with gastric ulcer in elder patients |
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LI Jun-long
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Central Hospital of Wafangdian City, Dalian 116300,China
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| Abstract: |
| ［Objective］ To investigate the pathogenesis and t he clinical features in elderly patients.［Methods］ The clinical and endoscopic data of 105 elder ly patients above 60 years old with gastric ulcer(elderly group) were analyzed ret rospectively and the results were compared with those of 281 young cases below 6 0 years old of gastric ulcer(under 60 years group). ［Results］ The patho genesis,position, size, clinical symptom and complication of the elderly patient s are obviously different from the young patients（P＜0.05 and P＜0.01). ［Conclusion］For gastric ulcer in elderly patients ,NSAIDs is a more importa nt pathogeneic factor (P＜0.01)，besides their clinical symptoms are not typ ical and usual ly they have many complications. The incidence of high ulcer and great ulcer inc reased apparently,which should arouse attention of doctors. |
| Key words: gastric ulcer elderly patients pathology |
