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上消化道疾病患者幽门螺杆菌感染调查分析 被引量:14

Analysis of Helicobacter pylori infection in patients with upper gastrointestinal disease
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摘要 目的:调查上消化道疾病患者幽门螺杆菌感染情况,分析幽门螺杆菌的分布,为临床预防治疗提供依据。方法选择2010年2月-2014年4月医院消化内科收治的1468例上消化道疾病患者为研究对象,对其临床资料进行调查,分析上消化道患者幽门螺杆菌感染率以及不同性别、年龄段和上消化道疾病种类与幽门螺杆菌感染的关系。结果1468例上消化道疾病患者中检测出幽门螺杆菌感染693例,感染率为47.2%;70~79岁患者幽门螺杆菌感染率较低为43.6%,40~49岁和50~59岁患者感染率偏高,分别为48.6%和48.7%;不同上消化道疾病患者中,浅表性胃炎患者幽门螺杆菌感染率最低为40.0%;十二指肠溃疡患者幽门螺杆菌感染率最高为92.8%。结论上消化道疾病与幽门螺杆菌感染关系密切,临床应根据幽门螺杆菌检查结果采取相应的治疗方案。 OBJECTIVE To investigate the situation of Helicobacter pylori infection in patients with upper gastroin‐testinal disease ,so as to analyze the distribution of H .pylori in upper gastrointestinal disease ,and to provide the references for clinical prevention and treatment .METHODS The clinical data of 1468 cases with upper gastrointes‐tinal disease treated in our hospital from Feb .2010 to Apr .2014 were investigated .The incidence of H .pylori in‐fection and the relationship between the genders ,ages and different types of upper gastrointestinal diseases and the H .pylori infection were analyzed .RESULTS Totally 693 cases were positive with H .pylori from 1468 cases with upper gastrointestinal disease ,and the rate of H .pylori infection was 47 .2% ;the infected rate of men was 48 . 8% ,and women was 45 .7% ,it′s not significance of H .pylori infection rate between men and women .The in‐fection rate in 20~29 age group was 46 .2% ,30~39 age group was 46 .4% ,40~49 age group was 48 .6% ,50~59 age group was 48 .7% ,60~69 age group was 46 .1% and in 70~79 age group was 43 .6% .The rate of H . pylori infection was the highest in patients with duodenal ulcer ,and the infection rate was 92 .8% and lowest in patients with superficial gastritis and the rate was 40 .0% .CONCLUSION The study showed closely relation be‐tween upper gastrointestinal diseases and H .pylori infection .It′s necessary to take on reasonable treatment ac‐cording the result of H .pylori test .
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2015年第19期4356-4357,4364,共3页 Chinese Journal of Nosocomiology
基金 浙江省医药卫生科技计划基金资助项目(2013KYB264)
关键词 上消化道疾病 幽门螺杆菌 感染 Upper gastrointestinal disease Helicobacter pylori Infection
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