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1、實(shí)用肝臟病雜志2013年10月第16卷第5期JClinHepatol,Oct.2013.Vo1.16N0.5·451··脂肪性肝病·非酒精性脂肪性肝病患者幽門螺桿菌感染狀況調(diào)查木郭曉燕史海濤師阿盟王婷董蕾【摘要】目的探討非酒精性脂肪性肝病(NAFLD)患者幽門螺桿菌(Hp)的感染狀況。方法在946例NAFLD患者和3725例健康對(duì)照人群,采用免疫膠體金法檢測(cè)血清抗幽門螺桿菌尿素酶抗體。結(jié)果在男性中。NAFLD和對(duì)照組人群Hp感染率分別為21.3%和21.6%(尸>0.05),在女性分別為14.9%和16.6%(尸>0.05);在男性中,輕、中和重度NAFLD患者Hp感染率分別為21.9%
2、、20.8%和17.4%(尸>0.05),在女性分別為16.4%、16.7%和15.0%(尸>O.05);Hp陽性與Hp陰性人群體重指數(shù)、肝功能和血脂水平亦無明顯差異。結(jié)論幽門螺桿菌感染可能對(duì)NAFLD發(fā)病、肝功能指標(biāo)、血糖及血脂水平無明顯影響?!娟P(guān)鍵詞】非酒精性脂肪性肝?。挥拈T螺桿菌;肝功能;血糖;血脂doi:10.3969/j.issn.1672—5069.2013.05.022Theprevalenceofhelicobacterpyloriinfectioninpatientswithnon—。alcoholicfattyliverdiseaseGuoXiaoyan,ShiHai
3、tao,ShiAmeng,eta1.SecondAfiliatedHospitalofMedicine,Xi"anJiaotongUniversitySchoolofMedicine,Xi"an710004,ShaanxiProvince,China【Abstract】ObjectiveToinvestigatetheprevalenceofhelicobacterpylori(Hp)infectioninpatientswithnon—alcoholicfattyliverdisease(NAFLD).MethodsSubjectsunderwentphysicalexaminatio
4、nwerestudied.Ab—dominalBultrasoundandserumHpantibodywereusedtodeterminetheexistenceofNAFLDorHpinfection,respectively.Atotalof946patientswithNAFLD(658malesand288females)and3725healthcontrols(1867malesand1858females)wereenrolled.ResultTherewasnostatisticalsignificanceinHpinfectionratesbe-tweentheNA
5、FLDpatients(21-3%)andthehealthcontrols(21.6%,P>0.05)inthemale,neitherinthefemale(14.9%inNAFLDpatientsVS.16.6%inhealthcontrols);TheprevalenceofHpinfectioninpatientswithmild,moderate,orsevereNAFLDwere21.9%,20.8%and17.4%respectivelyinthemaleand16-4%,16.7%and15.0%respectivelyinthefemaleandthedifferen
6、ceswerenotstatisticallysignificantineithergender(P>0.05);Liverfunctionparameters,bloodglucoseandlipidslevelswerenotsignificantlydifferentbetweenpersonswithserumanti-Hpantibodypositiveandwithitnegative.ConclusionHelicobacterpyloriinfectionmaynotcontributetothepathogenesisofNAFLDanddonotaffectliver
7、function,bloodglucoseandlipidslevels.【Keywords】Non—alcoholicfattyliverdisease;Helicobacterpylori;Liverfunctiontests;Bloodglucose;Bloodlipids幽門螺桿菌(Helicobacterpylori,Hp)是一種定植國人群Hp感染因地區(qū)有所不同,20%~90%不等。Hp于胃粘膜的革蘭陰性螺旋形致病菌。流行