幽门螺杆菌感染与脂肪肝关系的探讨-论文.pdf

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1、中华医院感染学杂志2013年第23卷第18期ChinJNosokomiolVo1．23No．182013论著·幽门螺杆菌感染与脂肪肝关系的探讨彭虹，叶有强，陶红梅，袁君君，赖人旭(I．中山大学附属第五医院预防保健科2．消化内科，广东珠海519000)摘要：目的探讨幽门螺杆菌(Hp)感染与脂肪肝的关系，为临床诊治提供依据。方法采用血清Hp—IgG测定确定Hp感染，随机选择151例Hp阳性者(阳性组)和151例Hp阴性者(阴性组)进行腹部B超检查和血脂检测，对其结果进行回顾性分析。结果Hp阳性组的脂肪肝总发生率为41．O6，较Hp阴性组的18．54％明显增多，差异有统计学意义(P

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3、ipbetweenHelicobacterpyloriinfectionsandfattyliverPENGHong，YEYou—qiang，TAOHong—mei，YUANJun—jun，LAIRen—XU(TheFifthAffiliatedHospitalofSunYat—SenUniversity，Zhuhai，Guangdong519000，China)Abstract：OBJECTIVEToinvestigatetherelationshipbetweenHelicobacterpylori(Hp)infectionandfattyliverandprovidet

4、hebasisforclinicaldiagnosisandtreatment．METHODSHpinfectionwasidentifiedwithserumHp—IgG．151casesofHppositivepatients(positivegroup)and151casesofHpnegativepatients(negativegroup)wererandomlyselectedtOundergotheabdominalBultrasoundexaminationandbloodtesting，andthenaretro—spectiveanalysisOnthet

5、estresultswasperformed．RESULTSTheincidenceoffattyliverofthepatientsintheHppositivegroupwas41．06，significantlyhigherthan18．54oftheHpnegativegroupandthedifferencewassignificant(P

6、rehigherthanthoseoftheHpnegativegroupandthedifferencewassignifi—cant(P

7、pinfectionispossiblyoneoftheriskfactorsoffattyliver．ToactivelypreventHpinfectionmayhelptOreducetheincidenceoffattyliver．Keywords：HeliCobacterpylori；Fattyliver；Bloodlipid；Infection幽门螺杆菌(Hp)是寄生于人体胃内革兰阴性肪肝的关系，笔者共收集了151例Hp阳性者、151杆菌，健康体检人群感染率达58．9_1]。脂肪肝是例Hp阴