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[目的]探讨青海高原地区老年消化性溃疡的特点。[方法]对258例老年消化性溃疡患者进行相关因素分析,并与同期的中青年消化性溃疡260例进行对比。[结果]258例老年消化性溃疡中,以呕血、黑便为首发症状179例(69.4%),高于中青年组的27例(10.4%)(P﹤0.01),高位溃疡和巨大溃疡发生率高,并发症184例(71.3%),伴随其他疾病者169例(65.5%),高于中青年组的48例(18.5%)(P﹤0.01)。[结论]高原老年消化性溃疡具有发病率高、并发出血多、病情危重等特点,应在患者全身情况许可下尽早胃镜检查,给予治疗。同时应兼顾治疗并发症及伴随疾病,是提高生存质量、减少并发症、降低病死率的关键。
[Objective] To investigate the characteristics of peptic ulcer in the Qinghai Plateau. [Methods] 258 cases of elderly patients with peptic ulcer associated with factor analysis, and with the same period in young and middle peptic ulcer 260 cases were compared. [Results] Among 258 elderly peptic ulcer patients, 179 (69.4%) were the first symptoms of hematemesis and melena, higher than those in middle-aged and young patients (10.4%) (P <0.01) There were 184 cases (71.3%) with complications, 169 cases (65.5%) with other diseases and 48 cases (18.5%) with middle-aged and young patients (P <0.01). [Conclusion] The elderly peptic ulcer in the plateau has the characteristics of high morbidity, complicated bleeding, critical condition and so on. Gastroscopy should be given as soon as possible with the general condition of the patient. At the same time should take into account the treatment of complications and concomitant diseases, is to improve the quality of life, reduce complications, reduce the mortality of the key.