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目的对比分析老年胃溃疡患者和中青年胃溃疡患者的临床特点。方法 63例老年胃溃疡患者作为甲组,选取同期71例中青年胃溃疡患者作为乙组。对两组患者的临床特点进行对比分析。结果甲组服用非甾体药物、不规律腹痛、腹胀发生率高于乙组,差异有统计学意义(P<0.05);甲组酗酒、规律腹痛及反酸发生率低于乙组,差异有统计学意义(P<0.05);甲组胃底部及胃体溃疡高于乙组,差异有统计学意义(P<0.05);乙组胃窦部溃疡高于甲组,差异有统计学意义(P<0.05);甲组多部位溃疡发生率高于乙组,差异有统计学意义(P<0.05);甲组大溃疡和并发症发生率高于乙组,差异有统计学意义(P<0.05)。结论老年胃溃疡和中青年胃溃疡临床特征存在较大差异,应针对性进行治疗。
Objective To compare and analyze the clinical features of elderly patients with gastric ulcer and middle-aged patients with gastric ulcer. Methods A total of 63 elderly patients with gastric ulcer were selected as group A. 71 patients with middle-aged and young patients with gastric ulcer were selected as group B. The clinical characteristics of two groups of patients were compared. Results A group taking non-steroidal drugs, irregular abdominal pain, abdominal distension incidence was higher than in group B, the difference was statistically significant (P <0.05); group A alcoholism, regular abdominal pain and acid reflux rate was lower than in group B, the difference was (P <0.05). The gastric ulcer in group A was higher than that in group B, the difference was statistically significant (P <0.05). The gastric ulcer in group B was higher than that in group A, the difference was statistically significant (P <0.05). The incidence of multi-site ulcer in group A was higher than that in group B (P <0.05). The incidence of large ulcer and complications in group A was higher than that in group B (P <0.05). Conclusion The clinical features of gastric ulcer and middle-aged young patients with gastric ulcer are quite different, should be targeted for treatment.