功能性消化不良检测和根除幽门螺杆菌的诊疗价值  

VALUE OF DETECTION AND TREATMENT OF HELICOBACTER PYLORI INFECTION IN PATIENT WITH FUNCTIONAL DYSPEPSIA

作　　者：龚锦文 孙辉[1] 秦荣[1] 李美霞[1] 戴虹[1] 

机构地区：[1]九江市第一人民医院

出　　处：《九江医学》2002年第4期199-200,共2页Jiujiang Medical Journal

摘　　要：目的 :检测幽门螺杆菌 (HP)在功能性消化不良 (FD)患者中感染情况 ,探讨检测和根治HP对FD患者的诊疗意义。方法 :采用1 4C -尿素呼气试验检测 5 72例FD患者的HP感染情况 ,对HP性阳患者进行三联根除治疗 ,并与HP阴性患者行PPI标准剂量治疗进行症状改善情况对比。结果 :5 72FD患者中 ,HP阳性 3 3 7例 ,阳性率5 8 92 % ,阴性 2 3 5例 ;HP阳性患者中 2 5 3例完成三联根除治疗且停药一个月后复查HP达阴性者 2 14人 ,根除率84 5 8% (2 14 2 3 5 ) ,消化不良症状改善率 2 6 17% ,阴性患者 2 3 5例中的 187例症状改善率 5 88% (11 187)。结论 :检测和根治HP能改善部分FD患者的临床症状。Objective:To Investigate the situation of helicobacter pylori(HP) infection in patients with functional dyspepsia(FD),To assess the clinic value of the recnission in posttreatment follow-up.Method:To assess the HP infection rate in 572 FD patients with 14 C-Urea Breath Test;HP positive patients returned for follow-up after an eradication regimen and to compare the remission with that of HP negative patients who were treat with.Results:There are 337 HP positive patients in 572 FD patients,the rate is 58.92%,214 patients who are HP positive were turned to be negative after eradication treatment in 253 HP positive patients returned for follow-up,the rate is 84.58%,the remission rates in the 214 FD patients and all the 440 follow-up FD patients are 26.17% and 12.7%.Conclusion:Detection and eradication treatment of HP are able to remit the symptoms of some FD patients.

关 键 词：功能性消化不良 幽门螺杆菌 ^14C-尿素呼气试验 治疗 

分 类 号：R573[医药卫生—消化系统] R57[医药卫生—内科学]