拉萨地区汉、藏族常见胃肠疾病与幽门弯曲菌的关系  

Relationship between gampylobacter pylori and common gastro-duodend disease patients of Han and Tibetan peoples in Lhasa

作　　者：江红接[1] 姜敬波[1] 王端荣[2] 

机构地区：[1]西藏军区总医院内三科 [2]西藏军区总医院病理科

出　　处：《西藏医药》1995年第1期12-14,共3页Tibetan Medicine

摘　　要：拉萨地区汉、藏族常见胃十二指肠疾病患者幽门弯曲菌（CP）检出率较高（汉族73．6％100％，藏族83．3—100％，其CP检出率及感染程度随年龄而增高或加重（rs＝0．378、0．558，p＜0．01），对CP感染的影响作用中低氧分压较民族差异更为重要。胆汁边流与非胆汁流者，以及是否伴慢性十二指肠炎（DI）者问CP检出率差异无显著性。胆汁返流与非胆汁返流者胃窦部炎症程度与CP感染程度有非显著正相关关系（rs＝0．4980．649，p＜0．01），非胆汁返流者其二者间关系更为密切，同级CP感染患者中胆汁返流者炎症程度较重者明显多于非胆汁返流者（p＜0．050．01），而十二指肠球部炎症程度与胃窦部CP感染程度间未见相关关系（rs＝－0．098，p＜0．05）。因此，本文提出胆汁返流对CP在胃粘膜上皮定居影响不大，二者同时存在时在胃窦部慢性炎发生上起着协同相加的病因学作用。CP感染与消化性溃疡关系密切，而非活动性DI则系从病因学上不同于慢性胃炎、消化性溃疡及活动性十二指肠炎的一组独立疾病。The prevalence of campylohacter pylori (CP) was 73. 6-100% in the petients of han peoples, 83. 3-100% in the Tibetan Patients with common gastro duodenal diseases in Lhasa. There were significantly positive correlation among prevalemce,degrees of cpinfection and age in the all patients(rs=0. 378, 0. 558,P<0.01), inflammation degrees of antral mucosa and degrees of cp infection in the patients with or without bile reflux (rs=0. 498-0. 649, p<0.01, more close in the Patients without bile reflux), but not in the duodenitis potients (rs=0.098, p>0.05). The prevalence of cp was not shown with signficantly difference among the patients with or without bile reflux,duodentitis (p>0.05). There were more moderate and(or)severe inflammation in the petients of same grade of cp infection with blie reflux than in those without (p<0.05-0.01). Anetiological role of addition and assistance of cp infection and blie reflux was shown in the Patients with antral gutritis.

关 键 词：幽门弯曲菌 胃肠疾病 藏族 

分 类 号：R573.02[医药卫生—消化系统]