增龄与幽门螺杆菌感染对慢性胃炎的影响研究OA北大核心CSTPCD
Effects of aging and Helicobacter pylori infection on chronic gastritis
目的 分析增龄与幽门螺杆菌(Helicobacter pylori,Hp)感染对慢性胃炎患病及严重程度的影响.方法 回顾性分析2021年6月至2022年5月于首都医科大学附属北京友谊医院消化科行内镜检查且有Hp信息的慢性胃炎且无其他胃内病变的患者.按照年龄分为≤45岁,45~65岁,≥65岁3组.结果 纳入1841例慢性胃炎患者,男性872例(47.4%),女性969例(52.6%),慢性非萎缩性胃炎694例(37.7%),慢性萎缩性胃炎1147例(62.3%);女性Hp感染率高于男性(25.0%比24.8%,P<0.05),慢性萎缩性胃炎患者Hp感染率高于慢性非萎缩性胃炎患者(38.4%比11.8%,P<0.05).随着年龄增长,慢性萎缩性胃炎的患病率与严重程度均增加(P<0.05),而Hp感染率是下降的(P<0.05),特别是≥65岁.结论 慢性萎缩性胃炎的患病、严重程度与Hp感染及增龄密切相关.
Objective To investigate the effect of aging and Helicobacter pylori(Hp)infection to the prevalence and severity of chronic gastritis.Methods From June,2021 to May,2022,patients who underwent upper endoscopy examination in Beijing Friendship Hospital were recruited.We selected chronic gastritis patients with Hp information and without other visible lesions.The clinical results were analyzed depending on different ages(≤45,45-65,≥65).Results In this study,a total of 1841 chronic gastritis patients were recruited,including 872 males(47.4%)and 969 females(52.6%).Chronic atrophic gastritis(CAG)was found to be 62.3%,while non-chronic atrophic gastritis was 37.7%.The positivity of Hp infection was higher in CAG patients than the non-CAG(38.4%vs.11.8%,P<0.05),and the same result was showed when compared females with males(25.0%vs.24.8%,P<0.05).The prevalence and severity of CAG increased with age(P<0.05),however,the Hp positivity decreased with advanced age(P<0.05),especially when patients more than 65 years old.Conclusion Overall chronic gastritis is common in general population.The prevalence and severity of CAG increases with Hp infection and aging.
邵琳琳;张倩;李鹏
首都医科大学附属北京友谊医院消化科,北京 100050
临床医学
增龄慢性胃炎幽门螺杆菌
agingchronic gastritisHelicobacter pylori
《中国实用内科杂志》 2024 (007)
563-566 / 4
国家自然科学基金青年基金(81902472)
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