摘要
目的通过13C-呼气试验对有上消化道疾患的老年人进行Hp检测,了解老年人上消化道疾病患者Hp感染情况。方法选择住院和门诊就诊经胃镜证实为上消化道疾患的老年患者133例,胃镜检查后进行13C-呼气试验。结果 133例患者中慢性胃炎(CG)57例,阳性29例,阳性率为50.9%;消化性溃疡(PU)45例,阳性26例,阳性率57.8%;功能性消化不良(FD)31例,阳性9例,阳性率29.0%。CG与PU之间Hp阳性率无显著差异(P>0.05);FD与CG、PU之间Hp阳性率有显著差异(P<0.05),CG和PU患者Hp阳性率高于FD患者。男女患者阳性率无显著差异(P>0.05)。不同年龄组患者阳性率无显著差异(P>0.05)。结论 Hp感染是老年人上消化道疾患的主要病因,13C-呼气试验适用于老年人。
Objective To investigate infection rate of Helicobacter pylori （Hp） of the elderly with upper gastroenteric disease by ^13C-urea breath test（^13C -UBT）.Methods 133 old patients of in or out patients of the upper digestive tract illness diagnosed by gastroscope were enrolled.All of them were carried on 13C-UBT after endoscopy.Results The detection rates of Hp in patients with chronic gastritis（CG）,peptic ulcer（PU） and functional indigestion （FD） were 50.9%（29/57）,57.8%（26/45） and 29.0%（9/31）,respectively.Hp positive rate did not have significant difference （P〉0.05） between CG and PU,but showed significant difference （P〈0.05） among FD,CG and PU with Hp positive rate of CG and PU significantly higher than that of FD.The Hp positive rate of patients of men and women did not have significant difference （P〉0.05）,neither did among those of different age groups （P〉0.05）.Conclusion Hp infection is the main reason for upper gastroenteric disease in the old patient,and 13C-urea breath test is also suitable for the elderly.
出处
《微创医学》
2010年第5期443-445,共3页
Journal of Minimally Invasive Medicine
