牙周基础治疗对消化性溃疡患者胃幽门螺杆菌根除率的影响  

Effect of initial periodontal therapy on the eradication rate of gastric helicobacter pylori in patients with peptic ulcer

作　　者：袁芳[1] 金峰[1] 马红梅[1] 乐桥良[1] 朱金照[1] 

机构地区：[1]福建省福州市.解放军第476医院,350002

出　　处：《现代实用医学》2003年第9期549-550,共2页Modern Practical Medicine

摘　　要：目的 探讨牙周基础治疗对消化性溃疡患者胃内幽门螺杆菌根除率的影响。方法 选择经内镜诊断为消化性溃疡且有慢性牙周炎的64例患者进行三联药物抗幽门螺杆菌治疗,其中32例还同时进行牙周基础治疗。药物治疗后通过14C-尿素呼气试验分析牙周基础治疗对消化性溃疡患者胃内幽门螺杆菌根除率的影响。结果 经过牙周基础治疗的患者1年后幽门螺杆菌根除率显著高于未进行牙周基础治疗的患者(68.8％ vs 40.6％,P<0.05)。结论 对消化性溃疡且有慢性牙周炎的患者进行三联药物治疗的同时进行牙周基础治疗能提高胃内幽门螺杆菌根除率。Objective To investigate the effect of initial periodontal therapy on the eradication rate of gastric helicobacter pylori in patients with peptic ulcer. Methods Sixty-four patients with peptic ulcer and chronic periodontitis were studied. The patients were treated by triple therapy, meanwhile 32 cases of them were also treated by initial periodontal therapy. After treatment, the effect of of initial periodontal therapy on the eradication rate of gastric helicobacter pylori was examined with 14C urea breath test. Results After one year,the eradication rate in the group with initial periodontal therapy was significantly higher than that in the another group (68.8% vs 40.6% ,P < 0.05). Conclusion Initial periodontal therapy associated with triple therapy can improve the eradication rate of gastric helicobacter pylori in patients with peptic ulcer and chronic periodontitis.

关 键 词：治疗 消化性溃疡 胃 幽门螺杆菌 根除率 牙科刮治术 牙周炎 

分 类 号：R573.1[医药卫生—消化系统] R781.4[医药卫生—内科学]