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目的研究老年人消化性溃疡的临床特点。方法回顾性分析我院１９９１年至１９９５年收治的２４６例老年人消化性溃疡，与同期住院的２８７例老年前期患者作对比。结果老年胃溃疡占同期胃溃疡住院人数的构成比已由１９９１年的２６．１％上升至１９９５年的３５．６％。老年组无规律性上腹痛，恶心呕吐，腹胀，体重减轻，黑便分别为４８．０％，５６．９％，４７．２％，３３．３％，４１．１％，高于对照组（分别为２５．８％，３３．５％，２５．１％，１７．１％，２８．９％）（Ｐ＜０．０１）。老年组并发大出血２１．６％，急性穿孔２１．３％，幽门梗阻９．８％；对照组分别为１０．１％，１３．９％，１７．４％。２组相比有显著性差异（Ｐ＜０．０１或Ｐ＜０．０５）。老年组溃疡大于２．５ｃｍ者占２３．２％，多于对照组（１２．５％）（Ｐ＜０．０１）。结论老年人胃溃疡发病率逐年上升，症状体征不典型，并发出血及穿孔多且严重，巨大溃疡较多
Objective To study the clinical features of peptic ulcer in the elderly. Methods A retrospective analysis of our hospital from 1991 to 1995, 246 cases of elderly peptic ulcer patients, compared with 287 elderly patients in the same period hospitalized for comparison. Results The ratio of senile gastric ulcer to the number of hospitalized patients with gastric ulcer in the same period increased from 26.1% in 1991 to 35.6% in 1995. Irregular upper abdominal pain, nausea and vomiting, abdominal distension, weight loss and melena were 48.0%, 56.9%, 47.2%, 33.3% and 41.1% respectively in the elderly group, which were higher than those in the control group Respectively, 25.8%, 33.5%, 25.1%, 17.1%, 28.9%) (P <0.01). In the elderly group, hemorrhage was 21.6%, acute perforation was 21.3% and pyloric obstruction was 9.8%. The control group was 10.1%, 13.9% and 17.4% respectively. There was significant difference between the two groups (P <0.01 or P <0.05). Elderly group ulcer more than 2.5cm accounted for 23.2%, more than the control group (12.5%) (P <0.01). Conclusion The incidence of gastric ulcer in the elderly is increasing year by year, the symptoms and signs are not typical, with multiple bleeding and perforation and serious, large ulcers