98例胃溃疡患者临床及胃镜特点分析

目的探讨胃溃疡患者的临床及胃镜特点。方法收集2009年1月-2010年12月在本院进行检查并确诊为胃溃疡患者98例,根据年龄将其分为两组:中青年组60例,老年组38例。分析其临床及胃镜检查特点。结果老年组临床特点以不规律腹痛及腹胀为主,中青年患者以规律腹痛及返酸为主;老年患者胃溃疡主要位于胃底及胃体部,多部位溃疡的发生率亦高于中青年组,中青年组胃溃疡主要位于胃窦部;老年组宜并发穿孔、出血及幽门梗阻,而中青年组发生并发症的机率较小。结论老年及中青年患者胃溃疡的临床特点及胃镜表现不同,根据老年及中青年胃溃疡的临床及胃镜检查特点,指导临床胃溃疡的诊断及治疗。

Analysis on Clinical and Gastroscopic Characteristics of 98 Patients with Gastric Ulcer

Objective To explore the clinical and gastroscopic features of patients with gastric ulcer. Methods Ninety-eight patients who were examined and diagnosed with gastric ulcer in Outpatient Department,Training Base of Jiangxi Provincial Fire Brigade from January 2009 to December 2010 were enrolled in the study.According to the ages,the patients were divided into the middle-aged group（n=60） and the aged group（n=38）.Their clinical and gastroscopic features were analyzed. Results The clinical features of the elderly patients were mainly irregular abdominal pain and distension,while those of the middle-aged patients were mainly regular abdominal pain and sour regurgitation.The elderly patients＇ ulcers mainly occurred on the gastric fundus or gastric body,and the incidence rate of multiplace ulcer was higher in the elderly patients than in the middle-aged patients.The middle-aged patients＇ ulcers mainly occurred on the gastric antrum.The incidence rates of peptic ulcer perforation,bleeding and pyloric obstruction in the elderly patients were higher than those in the middle-aged patients. Conclusions The elderly and the middle-aged patients show different clinical features and endoscopic manifestations.Gastric ulcers should be diagnosed and treated according to the clinical and gastroscopic features of the patients in clinical practice.