有上消化道症状者幽门螺旋杆菌感染情况及与胃食管反流病的关系  

The investigation of Helicobacter pylori infecitous status in outpatients

作　　者：沈许德[1] 王雯[1] 庄惠军[1] 

机构地区：[1]福州总医院消化内科

出　　处：《福州总医院学报》2011年第2期88-89,81,共3页Journal of Fuzhou General Hospital

基　　金：南京军区医药卫生科研重点项目(07Z035)

摘　　要：目的:研究有上消化道症状的患者幽门螺杆菌(helicobacter pylori,Hp)感染状况及其与胃食管反流病(GERD)的相关性。方法:抽取南京军区福州总医院消化内科门诊病人中有上消化道症状者进行问卷调查并进行14C-尿素呼气试验检测Hp感染,用中文版反流性疾病问卷(reflux diagnostic questionnaires,RDQ)调查GERD患病情况,分析Hp感染与GERD患病的关系。结果:共调查219例,Hp感染率63.01%,男女比例1:1.607,各年龄组感染率比较差异无统计学意义(P>0.05),吸烟组与非吸烟组、饮酒组与非饮酒组Hp感染率差异亦无统计学意义(P>0.05),Hp阳性调查者GERD患病率低于Hp阴性调查者(P<0.05)。结论:Hp在有上消化道症状的人群中感染率高,Hp阳性者GERD患病率较低。Objective：To study the prevalence and epidemiological characteristic of Helicobacter pylori in outpatients with upper gastrointestinal symptoms.Methods：ethods Consecutive patients who presented to our hospital for the indication of upper gastrointestinal symptoms were included.The patients were queried via a detailed questionnaire and tested Hp.Results：A total of 219 patients included.The prevalence of Hp was 63.01%.Male vs female was 1 vs 1.607.There was no statistically significant differences among different ages（P0.05）,between smokers and nonsmokers（P0.05）,between alcohol users and nonalcoholic users（P0.05）.But,the prevalence of gastroesophagus reflux disease in Hp infected patients was lower than that in Hp negative patients（P0.05）.Conclusion：The prevalence of Hp is high in outpatients with upper gastrointestinal symptoms,and GERD are more common in patients infected with Hp.

关 键 词：门诊病人 幽门螺杆菌 14C-尿素呼气试验 感染率 胃食管反流病 

分 类 号：R735.35[医药卫生—肿瘤]