CAJ | 학술논문

目的探讨不同肝功能分级及不同并发症肝硬化患者小肠细菌过增长（SIBO）的情况。方法选取肝硬化患者125例，健康体检者40例，全部行乳果糖氢呼气试验，记录结果并总结分析。结果患者与健康对照组SIBO阳性率比较有差异，且随着肝功能分级SIBO阳性率逐渐升高。无并发症的肝硬化患者其SIBO阳性率低于有并发症的患者， P＜0.05，差异具有统计学意义。结论SIBO发生率与肝功能Child-Pugh分级有关，且分级越高SIBO阳性率越高；SIBO与腹水、肝性脑病、上消化道出血有密切的关系。
목적탐토불동간공능분급급불동병발증간경화환자소장세균과증장（SIBO）적정황。방법선취간경화환자125례，건강체검자40례，전부행유과당경호기시험，기록결과병총결분석。결과환자여건강대조조SIBO양성솔비교유차이，차수착간공능분급SIBO양성솔축점승고。무병발증적간경화환자기SIBO양성솔저우유병발증적환자， P＜0.05，차이구유통계학의의。결론SIBO발생솔여간공능Child-Pugh분급유관，차분급월고SIBO양성솔월고；SIBO여복수、간성뇌병、상소화도출혈유밀절적관계。
Objective To explore the situation of SIBO by different child-pugh gradesand complications of hepatic cirrhosis.Methods Selected 125 patients with hepatic cirrhosis and 40 healthy were chosen to examine by lactulose hydrogen breath test and analyze the records.ResultsThe difference of positive rate of SIBO betweenhepatic cirrhosis group and healthy group was statisticallysignificant. The positive rate of SIBO was increase by child-pugh grades. The positive rate of SIBO of patients without complication was lower than the patients with complications,P<0.05, had difference statistically signiifcance.ConclusionTheincidence rate of SIBO was related to child-pugh grade and the rate increased with the grade. SIBO has afifnity with ascites, hepatic encephalopathyand upper gastrointestinal haemorrhage.