Study On Duodenal Ulcer In The Elderly With Gastrointestinal Bleeding As The First Symptom

Objective: To investigate the clinical characteristics of duodenal bulbus ulcer in elderly patients with gastrointestinal bleeding as the first symptom.Methods: Selection in January 2015 to December 2019 because of gastrointestinal bleeding in our hospital during and after gastroscope examination,diagnosis of duodenal bulb ulcers or compound ulcer patients,according to research needs,is divided into the elderly(ages 65 years of age or higher)hemorrhage group,elderly group and non bleeding nonelderly(age<65 years of age)hemorrhage group,this paper mainly discusses in elderly patients with hemorrhage group general clinical situations,including sex,age,season,medical history,medication history,smoking history of drinking,helicobacter pylori infection),compare to other two groups at the same time,the statistical analysis of related factors,And do multi-factor logistic regression analysis.A total of 71 elderly bleeding patients were enrolled in the study,including 40 males and 31 females.A total of 73 patients were included in the elderly non-bleeding group,including 51 males and 22 females.A total of 51 patients were included in the non-elderly bleeding group,including25 males and 26 females.Results: 1.In the elderly bleeding group,the age of the patients is mainly 65-70 years old.With the increase of age,the incidence of the patients gradually decreases.2.Among the elderly patients with duodenal bulbus ulcer,the proportion of male patients was higher than that of female patients,but the proportion of female patients in the bleeding group was higher than that of the non-bleeding group.3.From January 2015 to December 2019,the incidence of duodenal bulb ulcer in the elderly with gastrointestinal bleeding as the first symptom showed an increasing trend year by year,and the onset season was mainly in the cold winter and spring.4.In the elderly bleeding group,the most common site of ball ulcer was the anterior wall of duodenal ball,followed by the small curve side,the posterior wall,and the large curve side,with single ulcer and ulcer>1.0cm.5.The elderly patients in the bleeding group had different degrees of abdominal is comfort,and the disease course was long,up to more than 40 years.6.Helicobacter pylori infection plays an important role in patients with duodenal bulb ulcer hemorrhage,but the etiology of the elderly patients is more complex.7.Non-steroid anti-inflammatory drugs are an important factor in senile ulcer bleeding,but cardiovascular and cerebrovascular diseases and other chronic diseases have little significance for senile ulcer bleeding.8.Smoking can cause ulcers to worsen and even bleed,but alcohol consumption has little effect on ulcer-related complications.9.The endoscopic manifestations of the elderly patients with duodenal bulb ulcer bleeding were mainly IIc,and the bleeding degree was mainly mild and moderate bleeding.The average length of hospital stay was significantly longer than that of the non-elderly group.Conclusion: with age,the incidence of duodenal bulbus ulcer in elderly patients with gastrointestinal bleeding as the first symptom decreased gradually.The most common site of ulcer is the anterior wall,with single,ulcer >1.0cm ulcer Can be accompanied by different degrees of abdominal discomfort,long course of disease,not timely treatment.HP infection,NSAIDs drugs and smoking all have important effects on ulcer bleeding,while chronic diseases and smoking need further study on whether they cause ulcer bleeding.IIc was the main classification for balloon ulcer bleeding in elderly patients,and mild to moderate bleeding was the main classification.Due to the complicated past history and medication history of elderly patients,the hospitalization days of the elderly patients with balloon ulcer bleeding were more than those of non-elderly patients.