老年难治性胃溃疡的临床特点及外科手术治疗的疗效分析

摘要

目的：探讨老年难治性胃溃疡的临床特点及外科手术治疗的疗效。方法分析60例老年难治性胃溃疡的临床资料，分析其临床特征，并将其分为观察组和对照组，对照组采用药物治疗，观察组在对照组的基础上采用外科手术治疗，观察临床疗效。结果难治性溃疡与性别、年龄、吸烟饮酒等因素无关（P＞0.05），而与溃疡大小、部位、并发症、NSAIDs和抑郁情绪密切相关（P＜0.05）。观察组总有效率（96.9%）高于对照组（71.4%）（P＜0.05）。随访12周，观察组复发率（6.3%）低于对照组（32.1%）（P＜0.05）。结论通过对老年难治性胃溃疡的发病特点进行分析总结，在药物治疗的基础上采用胃部分切除术治疗，临床疗效好，并且复发率低。%Objective To explore the clinical characteristics of senile refractory ulcer and the curative effect of surgical treatment.MethodsTo analyze the clinical data of 60 cases of senile refractory ulcers,and analyze the clinical features,and it can be divided into observation group and control group. Control group with drug treatment, the observation group on the basis of control group using surgical treatment,then observed the clinical curative effect.Results The refractory ulcer has nothing to do with factors such as gender,age,smoking,drinking(P>0.05),and ulcer size,site, complications,NSAIDs,and closely related to depression(P<0.05). The total effective rate of observation group(96.9%)was significantly higher than control group(71.4%)(P<0.05). Folow-up of 12 weeks,the recurrence rate(6.3%)of the observation group was obviously lower than control group(32.1%)(P<0.05).Conclusion Based on the summary and analyze the clinical characteristic of senile refractory ulcers, on the basis of drug therapy with gastric resection treatment,the clinical curative effect was distinct,and the recurrence rate was lower.