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驻南方某部军人反流性食管炎及幽门螺杆菌感染情况分析
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Journal Article
驻南方某部军人反流性食管炎及幽门螺杆菌感染情况分析
2011
Overview
目的研究南方某部军人反流性食管炎（RE）的患病情况及其与幽门螺杆菌（Hp）感染的关系。方法选择通过反流性疾病问卷（RDQ）调查诊断为胃食管反流病（GERD）的91例军人病例作为GERD组,并根据症状积分分为低分组（12~15分）47例,中分组（16~20分）34例,高分组（〉20分）10例。另随机抽取60例非GERD军人（反流症状评分〈12分）为对照组。共151例军人接受胃镜检查,同时采用14C-尿素呼气试验（14C-UBT）和快速尿素酶试验（RUT）两种方法检测Hp,结果均阳性者判为Hp感染。结果 GERD组与对照组的RE检出率分别为42.9%（39/91）和3.3%（2/60）,两组比较差异有统计学意义（P〈0.05）,但GERD各积分组之间的RE检出率差异无统计学意义（P〉0.05）。GERD组中检出39例RE,其中A、B级分别为221、3例（共占89.7%）,C、D级分别为31、例（共占10.3%）;另检出8例Barrett食管（BE,8.8%）。RE症状积分与分级之间无明显线性关系（r=0.276,P〉0.05）。RE患者Hp感染率为59.0%（23/39）,与对照组（61.7%）比较差异无统计学意义（P〉0.05）。结论军人RE检出率及Hp感染率均较高,RE检出率与Hp感染无明显关联。
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