糖尿病性胃病患者胃镜和病理检查及Hp检测分析  

Gastroscopy and Pathological Examination and Hp Detection in Patients with Diabetic Gastric Diseases

作　　者：张慧英[1] 

机构地区：[1]白城中心医院,吉林白城137000

出　　处：《糖尿病新世界》2015年第17期193-195,共3页Diabetes New World Magazine

摘　　要：目的：分析糖尿病性胃病患者胃镜和病理检查及Hp检测结果，为糖尿病性胃病防治提供参考依据。方法随机选择近年来该院门诊收治的伴有慢性上腹部不适症状的糖尿病患者（观察组）和同期收治的具有可比性的非糖尿病患者（对照组）各110例为研究对象，均采用日本富士公司生产的201型电子胃镜进行检查，胃镜检查同时取病变组织行病理检查，应用13C呼气试验检测是否存在Hp感染，比较两组患者相应检查结果之间的差异是否具有统计学意义，分析糖尿病病程与胃十二指肠病变检出率之间的关系。结果观察组胃镜检查胃十二指肠慢性病变、复合性病变、单纯慢性胃炎、单纯胃溃疡、单纯慢性十二指肠炎、单纯十二指肠溃疡，病理检查慢性胃炎的检出率分别为83.64%、20.91%、39.09%、10.91%、9.09%、3.64%和57.27%；对照组分别为69.09%、13.64%、31.82%、9.09%、8.18%、6.36%和38.18%，胃镜胃十二指肠慢性病变和病理检查慢性胃炎总检出率之间的差异有统计学意义（前者χ^2=6.45，P〈0.05；后者χ^2=8.03，P〈0.01），其余项目检出率之间均差异无统计学意义（均P〉0.05）；观察组和对照组Hp感染率分别为84.54%和69.09%，差异有高度统计学意义（χ^2=7.38，P〈0.01）；糖尿病病程在5年以下、5~10年和10年以上的胃十二指肠慢性病变检出率分别为69.23%、82.76%和100.00%，差异具有高度统计学意义（χ^2=14.75，P〈0.01），列联系数R=0.34。结论糖尿病患者胃镜胃十二指肠慢性病变和病理检查慢性胃炎总检出率以及Hp感染率高于非糖尿病患者，且糖尿病病程越长，胃十二指肠病变发生率越高。Objective To analyze the results of gastroscopy and pathological examination and Hp examination in patients with diabetic gastric diseases, and to provide reference for the prevention and control of diabetes mellitus. Methods 110 pa-tients （observation group） and patients （control group） were treated with chronic upper abdominal discomfort symptoms. The patients were treated with 201 types of electronic gastroscopy. The results showed that the difference was statistically signif-icant between the two groups, and the detection rate of gastric and duodenal lesions was analyzed. Results The observation group Gastroscopy of gastroduodenal lesions, chronic disease, composite simple chronic gastritis, gastric ulcer, herpes simple chronic duodenitis, simple duodenal ulcer, chronic gastritis pathological detection rate were 83.64%, 20.91%, 39.09%, 10.91%, 9.09%, 3.64% and 57.27%; the control group were 69.09%, 13.64%, 31.82%, 9.09%, 8.18%, 6.36% and 38.18%, gastroscope and pathological examination of chronic gastroduodenal lesions of chronic gastritis were statistically significant difference between the rates （the formerχ^2=6.45,P〈0.05; the latter Lχ^2=8.03,P〈0.01）, the detection rate between the dif-ferences were not statistically significant（P〉0.05） and the observation group; the control group Hp infection rates were 84.54% and 69.09%, the difference was statistically significant（χ2=7.38, P〈0.01）; the duration of diabetes in less than 5 years, 5~10 years and 10 years of chronic gastroduodenal disease detection rate were 69.23%, 82.76% and 100%, with sta-tistically significant difference （χ^2=14.75, P〈0.01） column, connection number R=0.34. Conclusion The total positive rate of chronic gastritis and Hp infection in patients with diabetes mellitus were higher than that of non diabetics, and the longer the duration of diabetes, the higher the incidence of gastric and duodenal diseases.

关 键 词：糖尿病胃病 胃镜检查 病理检查 HP检测 结果分析 

分 类 号：R587.1[医药卫生—内分泌]