中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
44-45
,共2页
慢性胃炎%消化性溃疡%幽门螺杆菌%感染率
慢性胃炎%消化性潰瘍%幽門螺桿菌%感染率
만성위염%소화성궤양%유문라간균%감염솔
Chronic gastritis%Peptic ulcer%Helicobacter pylori%Infection rate
目的：探讨幽门螺杆菌(Hp)感染与慢性胃炎、消化性溃疡的关系。方法：收治胃镜检查确诊的慢性胃炎、消化性溃疡患者151例，包括慢性浅表性胃炎、慢性糜烂性胃炎、慢性萎缩性胃炎、胆汁反流性胃炎以及胃和十二指肠溃疡，分别给予胃黏膜组织活检及快速尿素酶试验检查Hp感染情况，分析炎性反应情况与Hp感染的关系。结果：慢性萎缩性胃炎37例，Hp感染阳性率86.48%；慢性糜烂性胃炎36例，Hp感染阳性率80.56%；慢性浅表性胃炎26例，Hp感染阳性率65.38%；胆汁反流性胃炎22例，Hp感染阳性率36.36%，消化性溃疡30例，Hp感染阳性率80.00%。慢性萎缩性胃炎阳性率最高，胆汁反流性胃炎阳性率最低，差异具有统计学意义(P＜0.05)。结论：几种常见的慢性胃炎、消化性溃疡均伴有不同程度Hp的感染，不同胃炎、消化性溃疡中Hp感染率差异具有统计学意义。慢性糜烂性胃炎、慢性萎缩性胃炎以及消化性溃疡感染Hp明显高于正常人群，从而提出Hp感染是产生的重要致病因素。
目的：探討幽門螺桿菌(Hp)感染與慢性胃炎、消化性潰瘍的關繫。方法：收治胃鏡檢查確診的慢性胃炎、消化性潰瘍患者151例，包括慢性淺錶性胃炎、慢性糜爛性胃炎、慢性萎縮性胃炎、膽汁反流性胃炎以及胃和十二指腸潰瘍，分彆給予胃黏膜組織活檢及快速尿素酶試驗檢查Hp感染情況，分析炎性反應情況與Hp感染的關繫。結果：慢性萎縮性胃炎37例，Hp感染暘性率86.48%；慢性糜爛性胃炎36例，Hp感染暘性率80.56%；慢性淺錶性胃炎26例，Hp感染暘性率65.38%；膽汁反流性胃炎22例，Hp感染暘性率36.36%，消化性潰瘍30例，Hp感染暘性率80.00%。慢性萎縮性胃炎暘性率最高，膽汁反流性胃炎暘性率最低，差異具有統計學意義(P＜0.05)。結論：幾種常見的慢性胃炎、消化性潰瘍均伴有不同程度Hp的感染，不同胃炎、消化性潰瘍中Hp感染率差異具有統計學意義。慢性糜爛性胃炎、慢性萎縮性胃炎以及消化性潰瘍感染Hp明顯高于正常人群，從而提齣Hp感染是產生的重要緻病因素。
목적：탐토유문라간균(Hp)감염여만성위염、소화성궤양적관계。방법：수치위경검사학진적만성위염、소화성궤양환자151례，포괄만성천표성위염、만성미란성위염、만성위축성위염、담즙반류성위염이급위화십이지장궤양，분별급여위점막조직활검급쾌속뇨소매시험검사Hp감염정황，분석염성반응정황여Hp감염적관계。결과：만성위축성위염37례，Hp감염양성솔86.48%；만성미란성위염36례，Hp감염양성솔80.56%；만성천표성위염26례，Hp감염양성솔65.38%；담즙반류성위염22례，Hp감염양성솔36.36%，소화성궤양30례，Hp감염양성솔80.00%。만성위축성위염양성솔최고，담즙반류성위염양성솔최저，차이구유통계학의의(P＜0.05)。결론：궤충상견적만성위염、소화성궤양균반유불동정도Hp적감염，불동위염、소화성궤양중Hp감염솔차이구유통계학의의。만성미란성위염、만성위축성위염이급소화성궤양감염Hp명현고우정상인군，종이제출Hp감염시산생적중요치병인소。
Objective:To investigate the relationship between helicobacter pylori(Hp) infection with chronic gastritis and peptic ulcer.Methods:151 patients with chronic gastritis or peptic ulcer were selected,including chronic superficial gastritis,chronic erosive gastritis,chronic atrophic gastritis,bile reflux gastritis,gastric and duodenal ulcer.All of those patients were treated with gastric mucosal biopsy and rapid urease test to detected helicobacter pylori infection,then we analyzed the relationship between inflammatory response and Hp infection.Results:37 cases were with chronic atrophic gastritis,and the positive rate of Hp infection was 86.48%;36 cases were chronic erosive gastritis,and the positive rate was 80.56%;26 cases were chronic superficial gastritis, and the positive rate was 65.38%;22 cases were bile reflux gastritis,and the positive rate was 36.36%;30 cases were peptic ulcer, and the positive rate was 80%.The positive rate of chronic atrophic gastritis was highest,and the bile reflux gastritis positive rate was lowest,P<0.05,with statistically significant difference.Conclusion:Those several kinds of common chronic gastritis and peptic ulcer are associated with different degree of Hp infection,and the Hp infection rate in different gastritis and peptic ulcer has statistically significant difference.The Hp infection in patients with chronic erosive gastritis,chronic atrophic gastritis or peptic ulcer is higher than in the normal people,so we put forward that Hp infection is an important pathogenic factors of chronic gastritis and peptic ulcer.
