滨州医学院学报
濱州醫學院學報
빈주의학원학보
JOURNAL OF BINZHOU MEDICAL COLLEGE
2015年
3期
161-164,167
,共5页
幽门螺杆菌%过敏性紫癜%Meta分析%儿童
幽門螺桿菌%過敏性紫癜%Meta分析%兒童
유문라간균%과민성자전%Meta분석%인동
helicobacter pylori%Henoch-Schonlein purpura%Meta-analysis%child
目的:综合分析幽门螺杆菌(Hp)感染与儿童过敏性紫癜(HSP)的关系。方法通过检索 PubMed、Medline、Em‐base、万方数据库、中国期刊全文数据库(CNKI)、中国生物医学数据库(CBM )及维普(VIP)等数据库,检索时间均为建库开始至2014年,全面收集公开发表的关于Hp感染与儿童 HSP关系的病例对照研究资料,采用 Meta分析方法对所有文献进行综合分析,并计算综合的优势比(odds ratio ,OR)值和95%可信区间(confidence interval ,CI)。结果共检索到相关文献68篇,最终纳入符合条件的文献13篇。结果显示,HSP组与对照组为:OR(95% CI)为3.17(2.53~3.97),合并效应量的检验结果Z=10.06,P<0.00001;腹型HSP与非腹型HSP组为:OR(95% CI)为3.43(1.83~6.43),合并效应量的检验结果Z=3.85, P=0.0001。结论 Hp感染与儿童 HSP的发病密切相关,尤其是腹型 HSP。
目的:綜閤分析幽門螺桿菌(Hp)感染與兒童過敏性紫癜(HSP)的關繫。方法通過檢索 PubMed、Medline、Em‐base、萬方數據庫、中國期刊全文數據庫(CNKI)、中國生物醫學數據庫(CBM )及維普(VIP)等數據庫,檢索時間均為建庫開始至2014年,全麵收集公開髮錶的關于Hp感染與兒童 HSP關繫的病例對照研究資料,採用 Meta分析方法對所有文獻進行綜閤分析,併計算綜閤的優勢比(odds ratio ,OR)值和95%可信區間(confidence interval ,CI)。結果共檢索到相關文獻68篇,最終納入符閤條件的文獻13篇。結果顯示,HSP組與對照組為:OR(95% CI)為3.17(2.53~3.97),閤併效應量的檢驗結果Z=10.06,P<0.00001;腹型HSP與非腹型HSP組為:OR(95% CI)為3.43(1.83~6.43),閤併效應量的檢驗結果Z=3.85, P=0.0001。結論 Hp感染與兒童 HSP的髮病密切相關,尤其是腹型 HSP。
목적:종합분석유문라간균(Hp)감염여인동과민성자전(HSP)적관계。방법통과검색 PubMed、Medline、Em‐base、만방수거고、중국기간전문수거고(CNKI)、중국생물의학수거고(CBM )급유보(VIP)등수거고,검색시간균위건고개시지2014년,전면수집공개발표적관우Hp감염여인동 HSP관계적병례대조연구자료,채용 Meta분석방법대소유문헌진행종합분석,병계산종합적우세비(odds ratio ,OR)치화95%가신구간(confidence interval ,CI)。결과공검색도상관문헌68편,최종납입부합조건적문헌13편。결과현시,HSP조여대조조위:OR(95% CI)위3.17(2.53~3.97),합병효응량적검험결과Z=10.06,P<0.00001;복형HSP여비복형HSP조위:OR(95% CI)위3.43(1.83~6.43),합병효응량적검험결과Z=3.85, P=0.0001。결론 Hp감염여인동 HSP적발병밀절상관,우기시복형 HSP。
Objective To assess the relationship between Helicobacter pylori (Hp) infection and Henoch‐Schonlein purpura (HSP) in children .Methods All the published literatures of relationship between Hp infection and childhood HSP were identi‐fied by searching from database establishment until 2014 in the PubMed ,Medline ,Embase ,Wanfang Database ,Chinese Journal Full‐text Database (CNKI) ,Chinese Bio‐medicine Database (CBM ) and VIP Database (VIP) .A comprehensive analysis of case control studies were used by Meta‐analysis and calculated the value of integrated odds ratio (OR) value and 95% confidence in‐terval (CI) .Results A total of 68 related literature were retrieved ,and 13 of them were eligible .Meta‐analysis of OR value and 95% CI were 3.17 (2.53 ~ 3.97) ,and Z value of combined effect of tests was 10.06 (P<0.00001) in HSP group and control group .Meta‐analysis of OR value and 95% CI were 3.43 (1.83 ~ 6.43) ,and Z value of combined effect of tests was 3.85 (P=0.0001) in HSP with gastrointestinal involvement group and HSP without gastrointestinal involvement group .Conclusions Hp infection is closely related with the incidence of childhood HSP ,especially in HSP with gastrointestinal involvement .