中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
21-21,23
,共2页
幽门螺杆菌感染%门静脉高压性胃病%临床分析
幽門螺桿菌感染%門靜脈高壓性胃病%臨床分析
유문라간균감염%문정맥고압성위병%림상분석
Helicobacter pylori infection%Portal hypertensive gastropathy%Clinical analysis
目的：探讨幽门螺杆菌(Hp)感染与门静脉高压性胃病(PHG)之间的临床意义。方法：对肝硬化患者行胃镜快速尿素酶试验、14C或13C尿素呼气试验测Hp。随机选择同期接受胃镜检查为慢性胃炎患者150例作为对照。结果：研究表明门静脉高压性胃病组Hp阳性率37%(37/100)明显低于对照组Hp阳性率64.7%(97/150)，且在性别和年龄间差异均无统计学意义(P＞0.05)；Hp感染在两组的差异无统计学意义(P＞0.05)。结论：Hp感染与门静脉高压性胃病无统计学相关性差异，Hp感染在其发病机制中不起主要作用。Hp感染不是肝硬化产生PHG的主要致病因素，对有Hp感染的PHG患者无需常规抗Hp根除治疗。
目的：探討幽門螺桿菌(Hp)感染與門靜脈高壓性胃病(PHG)之間的臨床意義。方法：對肝硬化患者行胃鏡快速尿素酶試驗、14C或13C尿素呼氣試驗測Hp。隨機選擇同期接受胃鏡檢查為慢性胃炎患者150例作為對照。結果：研究錶明門靜脈高壓性胃病組Hp暘性率37%(37/100)明顯低于對照組Hp暘性率64.7%(97/150)，且在性彆和年齡間差異均無統計學意義(P＞0.05)；Hp感染在兩組的差異無統計學意義(P＞0.05)。結論：Hp感染與門靜脈高壓性胃病無統計學相關性差異，Hp感染在其髮病機製中不起主要作用。Hp感染不是肝硬化產生PHG的主要緻病因素，對有Hp感染的PHG患者無需常規抗Hp根除治療。
목적：탐토유문라간균(Hp)감염여문정맥고압성위병(PHG)지간적림상의의。방법：대간경화환자행위경쾌속뇨소매시험、14C혹13C뇨소호기시험측Hp。수궤선택동기접수위경검사위만성위염환자150례작위대조。결과：연구표명문정맥고압성위병조Hp양성솔37%(37/100)명현저우대조조Hp양성솔64.7%(97/150)，차재성별화년령간차이균무통계학의의(P＞0.05)；Hp감염재량조적차이무통계학의의(P＞0.05)。결론：Hp감염여문정맥고압성위병무통계학상관성차이，Hp감염재기발병궤제중불기주요작용。Hp감염불시간경화산생PHG적주요치병인소，대유Hp감염적PHG환자무수상규항Hp근제치료。
Objective:To explore the clinical significance between helicobacter pylori(Hp)infection and portal hypertensive gastropathy(PHG).Methods:The patients with liver cirrhosis were given gastroscope rapid urease test,14C or 13C urea breathing test to test Hp.150 patients with chronic gastritis received gastroscopy at the same time were randomly selected as the control.Results:Research shows that Hp positive rate 37% (37/100) of portal hypertensive gastropathy group was significantly lower than Hp positive rate 64.7%(97/150) of the control group,and the differences in gender and age groups had no statistical significance(P>0.05).The difference of Hp infection in portal hypertensive gastropathy had no statistical significance(P>0.05).Conclusion:There is no significant correlation difference between Hp infection and portal hypertensive gastropathy.Hp infection does not play a major role in its pathogenesis. Hp infection is not the main pathogenic factor of liver cirrhosis caused PHG.The PHG patients with Hp infection is no given the conventional anti Hp eradication therapy.
