小儿慢性腹痛与幽门螺旋杆菌感染关系的临床分析
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摘要
目的:探讨小儿慢性腹痛与幽门螺旋杆菌(Helicobacterpylori,Hp)感染关系的临床效果,为小儿慢性腹痛与幽门螺旋杆菌感染关系的临床治疗提供理论依据。方法:选取2013年2月-2016年2月在我院接受治疗的56例小儿慢性腹痛患者作为此次研究对象,让病人服用碳14标记的尿素后,如患者的胃内存在Hp感染,胃中的尿素酶可将尿素分解为氨和碳14标记的CO2,碳14标记的CO2通过血液经呼气排出,定时收集呼出的气体,通过分析呼气中碳14标记的CO2的含量即可判断患者是否存在幽门螺旋杆菌感染。分析比较患者Hp阳性感染情况,分析发生Hp感染的相关性。结果:患者在12-14岁的年龄段Hp感染率最高,各年龄段Hp感染率比较差异显著,具有统计学意义(P<0.05);经碳14呼气试验检测Hp感染发现相关患儿38例,其中慢性浅表性胃炎Hp感染率最高,各类型疾病比较差异显著,具有统计学意义(P<0.05)。结论:随着患者年龄的增长,Hp感染率逐渐提高,患者发病率与年龄有着密切联系,慢性浅表性胃炎是引发患者Hp感染的主要疾病。
Objective: To explore the clinical effect of pylori Helicobacter(Hp) infection in children with chronic abdominal pain, and provide theoretical basis for clinical treatment of chronicabdominal pain and Helicobacter pylori infection in children。Methods: February 2013 to 2016 2 months in the hospital to accept treatment of 56 cases of children with chronic abdominal pain patientsas the research object, let a patient taking carbon 14 labeled urea were selected, such as the stomach of a patient in Helicobacter pylori infection and gastric urease can resolve urea into ammonia andcarbon 14 labeled CO2, carbon 14 labeled CO2 via the blood through the expiratory discharge, timing collection of exhaled gas. Through the analysis of the expiratory carbon 14 labeled CO2 contentcan be judged with existence of Helicobacter pylori(HP) infection. Analysis and comparison of patients with Hp positive infection, analysis of the correlation between the occurrence of Hp infection。Results: Patients in 12-14 years old of age of HP infection rate highest of all ages HP infection rate was significantly different, with statistical significance(P < 0.05); the carbon 14 breath test for thedetection of HP infection was found in 38 cases of children with, among them chronic superficial gastritis with HP infection rate is highest, the difference between the various types of disease significantly, with statistical significance(P < 0.05). Conclusions: With the increase of the age of patients, Hp infection rate gradually increased, the incidence of patients with age is closely linked, chronicsuperficial gastritis is the main cause of Hp infection in patients with the disease。
引文
[1]高静云,张天哲,张铁民,段俊梅,等.反复腹痛患儿幽门螺杆菌感染的影响因素分析[J].中国妇幼保健,2013,28(6):951-955.
    [2]邹明艳,张勇,李锦霞,梁韶妹,等.儿童上消化道疾病的临床特征及与幽门螺杆菌感染的关系[J].实用医学杂志,2013,29(7):1138-1139.
    [3]陈云国,陈晓智,王红宏,陈玉鸿,徐国凤,等.慢性萎缩性胃炎与临床相关疾病关系的探讨[J].中国地方病防治杂志,2014(S2):188-189.
    [4]熊愫兵,田莉,郑晓春,詹天佐,赵卫红,等.瑞巴派特联合泮托拉唑治疗幽门螺杆菌阴性慢性糜烂性胃炎的临床疗效研究[J].临床和实验医学杂志,2014(24):2015-2018.

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