幽门螺杆菌感染对儿童功能性消化不良胃电参数的影响  

The Effect of H.Pylori Infection on Gastric Electrical Parameters in Children with Functional Dyspepsia

作　　者：赵煜[1] 刘风林[1] 甄丽娜[1] 张书红[1] 李娟[1] 

机构地区：[1]天津市儿童医院消化内科,300074

出　　处：《天津医药》2014年第1期20-23,共4页Tianjin Medical Journal

摘　　要：目的通过多导胃电图方法探讨幽门螺杆菌(HP)感染与功能性消化不良(FD)的关系。方法 163例FD患儿,包括103例HP感染(A组)、60例无HP感染(B组),同时选22例无消化道症状患儿为对照组(C组)。3组均进行多导胃电图检测,包括正常慢波百分比(N%)、胃动过缓百分比(B%)、胃动过速百分比(T%)、胃动节律不齐百分比(A%),胃电频率及功率包括主频率(DF)及主功率(DP),餐后/餐前胃电主功率比(P/R),分析胃电描记数据。并对A组中84例治疗后HP转阴患儿的治疗前及治疗后胃电参数进行比较。结果 A组与B组比较,不同慢波频率的百分比差异餐后较餐前明显,餐前餐后DF、DP的变化均不明显。84例HP转阴患儿治疗前后比较,不同慢波频率的百分比改善不明显,但餐前餐后DF、DP及P/R改善均较明显。结论多导胃电图显示HP治疗对改善HP感染的FD患儿餐后症状有很大益处。Objective To explore the relationship between H.pylori （HP） infection and the functional dyspepsia （FD） by 4-lead electrogastrography （EGG）. Methods The data of the gastric electrical activity of 163 children with FD, includ- ing 103 children with HP infection （group A）, 60 without HP infection （group B） and 22 healthy controls （group C） were mea- sured by 4-lead EGG, which included normal slow wave percentage （N%）, bradygastria percentage （B%）, tachygastria per- centage （T%） and motilin uneven rhythm percentage （A%）. EGG frequency and power examination included the main fre- quency （DF）, the main power （DP） and postprandial/pre-prandial gastric electrical main power ratio （P/R）. EGG data was compared between three groups. Results There was significant difference in pre-prandial and postprandial percentage of different slow wave frequency between group A and group B. There were no significant differences in pre-prandial and post- prandial changes of DF and DP between group A and group B. There was no significant difference in the pre-prandial and postprandial percentage change of different slow wave frequencies in 84 HP negative patients. But the significant change was found in pre-prandial and postprandial change of DF, DP and P/R. Conclusion The eradication of lip improved the gas- tric electrical activity and relieved the postprandial symptom in children with functional dyspepsia under HP infection.

关 键 词：螺杆菌 幽门 螺杆菌感染 胃电描记术 电生理学 饭后期间 消化不良 

分 类 号：R725.7[医药卫生—儿科]