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慢性胃炎和食物过敏患者内镜检查中胃黏膜的宏观图像。

Macroscopic picture of gastric mucosa in endoscopic examination of patients with chronic gastritis and food allergy.

作者信息

Bartuzi Z, Gawrońska-Ukleja E, Romański B

机构信息

Department of Allergology and Internal Diseases, Medical University, ul. Ujejskiego 75, 85-168 Bydgoszcz, Poland.

出版信息

Med Sci Monit. 2000 Nov-Dec;6(6):1203-8.

Abstract

INTRODUCTION

The aim of the study was to evaluate the difference in macroscopic picture of the stomach in patients with food allergy and in non-atopic patients with H. pylori infection.

MATERIAL AND METHODS

In the study, patients with atopic diathesis, suffering from dyspepsia or abdominal pain were analysed. The study group included 72 women aged 16-57 years (mean age 36.5 years) and 38 men aged 16 and 60 years (mean age 34.4 years). Control group was formed of 40 patients without atopy (13 men and 27 women, aged 18-56 years--mean age 34.8 years), with endoscopically and histologically confirmed gastritis. All the patients underwent endoscopy of upper gastrointestinal tract with the use of fiberoscope GIF-E OLYMPUS and video endoscopy monitor OEV 203 OLYMPUS (Japan). The following features of gastritis were considered in endoscopic assessment: oedema, reddening and fragility of mucous membrane, spotted and macular exudate, flat and raised erosions, proliferation and atrophy of mucosal folds, vascular network, intramural extravasation, mucosal structure. The results obtained were verified statistically with chi-squared independence tests for 2 x 2 tables.

CONCLUSIONS

Statistical analysis of the incidence of these signs of inflammation in patients with food allergy did not show significant differences in relation to subjects with non-atopic gastritis.

摘要

引言

本研究的目的是评估食物过敏患者与非特应性幽门螺杆菌感染患者胃的宏观图像差异。

材料与方法

在本研究中,分析了患有特应性素质、消化不良或腹痛的患者。研究组包括72名年龄在16至57岁(平均年龄36.5岁)的女性和38名年龄在16至60岁(平均年龄34.4岁)的男性。对照组由40名无特应性的患者组成(13名男性和27名女性,年龄在18至56岁——平均年龄34.8岁),经内镜和组织学确诊为胃炎。所有患者均使用奥林巴斯GIF-E纤维胃镜和奥林巴斯OEV 203视频内镜监视器(日本)进行上消化道内镜检查。内镜评估中考虑了以下胃炎特征:黏膜水肿、发红和脆弱性、点状和斑状渗出物、扁平及隆起性糜烂、黏膜皱襞的增生和萎缩、血管网、壁内渗血、黏膜结构。所得结果通过2×2列联表的卡方独立性检验进行统计学验证。

结论

对食物过敏患者这些炎症体征发生率的统计分析表明,与非特应性胃炎患者相比无显著差异。

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