重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
8期
913-914
,共2页
螺杆菌感染%胃食管反流%问卷调查%14C呼吸实验
螺桿菌感染%胃食管反流%問捲調查%14C呼吸實驗
라간균감염%위식관반류%문권조사%14C호흡실험
helicobacter infections%gastroesophageal reflux%questionnaires%14C breath test
目的：研究患者幽门螺杆菌（Hp）感染状况及其与胃食管反流病（GERD）的相关性。方法抽取该院健康体检及消化内科门诊患者进行问卷调查并进行14C呼吸实验检测 Hp感染，调查GERD 患病情况，分析 Hp感染与GERD的关系。结果220例健康体检者中，Hp阳性108例。所有GERD患者中有238例为阳性，其中，0～≤3个月、3～≤6个月，＞6个月GERD发病者Hp阳性率分别为47．8％、44．1％和27．5％。GERD者6个月以上发病者阳性率低于健康者和小于或等于6个月者，差异有统计学意义（P＜0．01）。健康体检Hp阳性者给予Hp根除治疗，强调自我管理行为优化，4周后复查，根除率达到100％，服药过程中无明显不良反应。GERD Hp阳性者常规抗酸和增加胃动力治疗2周，症状缓解后加入 Hp根除治疗，同样强调自我管理行为优化，期间没有出现症状加重者。结论 GERD不同阶段的患者Hp感染程度不同，症状严重、反复就诊患者 Hp感染率低，健康阳性体检者Hp根除后未出现GERD的相关病例。
目的：研究患者幽門螺桿菌（Hp）感染狀況及其與胃食管反流病（GERD）的相關性。方法抽取該院健康體檢及消化內科門診患者進行問捲調查併進行14C呼吸實驗檢測 Hp感染，調查GERD 患病情況，分析 Hp感染與GERD的關繫。結果220例健康體檢者中，Hp暘性108例。所有GERD患者中有238例為暘性，其中，0～≤3箇月、3～≤6箇月，＞6箇月GERD髮病者Hp暘性率分彆為47．8％、44．1％和27．5％。GERD者6箇月以上髮病者暘性率低于健康者和小于或等于6箇月者，差異有統計學意義（P＜0．01）。健康體檢Hp暘性者給予Hp根除治療，彊調自我管理行為優化，4週後複查，根除率達到100％，服藥過程中無明顯不良反應。GERD Hp暘性者常規抗痠和增加胃動力治療2週，癥狀緩解後加入 Hp根除治療，同樣彊調自我管理行為優化，期間沒有齣現癥狀加重者。結論 GERD不同階段的患者Hp感染程度不同，癥狀嚴重、反複就診患者 Hp感染率低，健康暘性體檢者Hp根除後未齣現GERD的相關病例。
목적：연구환자유문라간균（Hp）감염상황급기여위식관반류병（GERD）적상관성。방법추취해원건강체검급소화내과문진환자진행문권조사병진행14C호흡실험검측 Hp감염，조사GERD 환병정황，분석 Hp감염여GERD적관계。결과220례건강체검자중，Hp양성108례。소유GERD환자중유238례위양성，기중，0～≤3개월、3～≤6개월，＞6개월GERD발병자Hp양성솔분별위47．8％、44．1％화27．5％。GERD자6개월이상발병자양성솔저우건강자화소우혹등우6개월자，차이유통계학의의（P＜0．01）。건강체검Hp양성자급여Hp근제치료，강조자아관리행위우화，4주후복사，근제솔체도100％，복약과정중무명현불량반응。GERD Hp양성자상규항산화증가위동력치료2주，증상완해후가입 Hp근제치료，동양강조자아관리행위우화，기간몰유출현증상가중자。결론 GERD불동계단적환자Hp감염정도불동，증상엄중、반복취진환자 Hp감염솔저，건강양성체검자Hp근제후미출현GERD적상관병례。
Objective To study the status of helicobacter pylori (Hp) infection and its correlation with gastroesophageal reflux disease(GERD) .Methods The Physical examination and digestive internal medicine outpatients was chosen for the detailed ques-tionnaire and 14C breath test detection of Hp infection ,investigation of GERD prevalence ,analyzed the relations between Hp infec-tion and GERD sick .Results In 220 cases of healthy check-up person ,Hp positive in 108 cases .There were 238 cases of Hp posi-tive in all GERD patients ,the positive rates of Hp infection for 0 - ≤3 months ,3 - ≤6 months and >6 months GERD patients were 47 .8% 、44 .1% and 27 .5% ,respectively .The positive rates of Hp infection for >6 months were significant lower than other groups (P<0 .01) .Health people who check -up with Hp positive were given Hp eradication therapy ,and emphasized the optimi-zation of self -management behavior ,4 weeks after the review ,eradication rate was 100% ,no obvious adverse reaction in the process of taking the medicine .GERD Hp was given conventional acid and increase the stomach power for 2 weeks ,symptoms after joining Hp eradication therapy ,also emphasized the self - management behavior optimization ,without symptoms worsen . Conclusion Hp infection in patients with different degrees at different stages of GERD .Severe symptoms ,repeated visits patients with low Hp infection rate .There is no GERD related cases after Hp eradication in positive health check-up person .
