中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1465-1466,1469
,共3页
反流性咽喉炎%幽门螺杆菌%感染
反流性嚥喉炎%幽門螺桿菌%感染
반류성인후염%유문라간균%감염
Reflux laryngitis%Helicobacter pylori%Infection
目的：研究反流性咽喉炎患者幽门螺杆菌（Hp）感染的临床治疗方法，分析慢性咽喉炎与 Hp感染的关联性，以提高诊治率。方法选取医院2012年6月－2013年6月收治的540例慢性咽喉炎患者，根据临床体征分为慢性反流性咽喉炎组（反流组）350例和普通慢性咽喉炎组（普通组）190例；通过14 C‐UBT 筛查分组治疗，并对Hp阳性患者治疗后的Hp转阴率和临床疗效进行分析，采用SPSS13．0进行统计分析。结果 Hp阳性检出率反流组92．9％，普通组为69．5％，两组患者Hp阳性检出率比较差异有统计学意义（P＜0．05）；两组 Hp阳性患者经治疗两周后停药4周复查 Hp结果差异无统计学意义，Hp阳性患者经治疗停药4周后总有效率普通组为77．9％、反流组为89．8％，两组患者临床体征均有好转。结论 H p感染与胃食管反流病和反流性咽喉炎有关，通过 Hp筛查后将慢性咽喉炎分类治疗可以提高临床诊治。
目的：研究反流性嚥喉炎患者幽門螺桿菌（Hp）感染的臨床治療方法，分析慢性嚥喉炎與 Hp感染的關聯性，以提高診治率。方法選取醫院2012年6月－2013年6月收治的540例慢性嚥喉炎患者，根據臨床體徵分為慢性反流性嚥喉炎組（反流組）350例和普通慢性嚥喉炎組（普通組）190例；通過14 C‐UBT 篩查分組治療，併對Hp暘性患者治療後的Hp轉陰率和臨床療效進行分析，採用SPSS13．0進行統計分析。結果 Hp暘性檢齣率反流組92．9％，普通組為69．5％，兩組患者Hp暘性檢齣率比較差異有統計學意義（P＜0．05）；兩組 Hp暘性患者經治療兩週後停藥4週複查 Hp結果差異無統計學意義，Hp暘性患者經治療停藥4週後總有效率普通組為77．9％、反流組為89．8％，兩組患者臨床體徵均有好轉。結論 H p感染與胃食管反流病和反流性嚥喉炎有關，通過 Hp篩查後將慢性嚥喉炎分類治療可以提高臨床診治。
목적：연구반류성인후염환자유문라간균（Hp）감염적림상치료방법，분석만성인후염여 Hp감염적관련성，이제고진치솔。방법선취의원2012년6월－2013년6월수치적540례만성인후염환자，근거림상체정분위만성반류성인후염조（반류조）350례화보통만성인후염조（보통조）190례；통과14 C‐UBT 사사분조치료，병대Hp양성환자치료후적Hp전음솔화림상료효진행분석，채용SPSS13．0진행통계분석。결과 Hp양성검출솔반류조92．9％，보통조위69．5％，량조환자Hp양성검출솔비교차이유통계학의의（P＜0．05）；량조 Hp양성환자경치료량주후정약4주복사 Hp결과차이무통계학의의，Hp양성환자경치료정약4주후총유효솔보통조위77．9％、반류조위89．8％，량조환자림상체정균유호전。결론 H p감염여위식관반류병화반류성인후염유관，통과 Hp사사후장만성인후염분류치료가이제고림상진치。
OBJECTIVE To study the clinical treatment for reflux laryngitis patients combined with Helicobacter pylori (Hp) infections and analyze the relevance between chronic laryngitis and Hp infections in order to improve the rate of diagnosis .METHODS Totally 540 cases of patients with chronic pharyngolaryngitis were selected from the hospital from Jun .2012 to Jun .2013 and they were divided into chronic reflux pharyngolaryngitis group (350 cases) and common chronic pharyngolaryngitis group (190 cases) according to different clinical signs .The two groups were screened by 14 C‐UBT .And the Hp negative conversion ratio and clinical effect of Hp positive patients after the treatments were analyzed .SPSS 13 .0 was adopted for statistical analysis .RESULTS The detection rate of positive Hp in the reflux group was 92 .9% ,which was higher than the normal group of 69 .5% .The difference was significant (P< 0 .05);the two groups of Hp‐positive patients were treated with drugs for two weeks and then stopped the drug .After four weeks of drug withdrawal ,their Hp level was reexamined .The results showed no significant difference (P>0 .05) .The total effective rate in the common group was 77 .9% ,while 89 .8% in the reflux group .The clinical signs of the two groups had improved .CONCLUSION Hp infections and gastro e‐sophageal reflux disease are related to reflux laryngitis .Screening Hp and then classifying chronic pharyngolaryn‐gitis can improve clinical diagnosis and treatment .
