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消化性溃疡疾病中的幽门螺杆菌。III. 症状及临床旁证与流行病学调查结果

Campylobacter pylori in peptic ulcer disease. III. Symptoms and paraclinical and epidemiologic findings.

作者信息

Andersen L P, Elsborg L, Justesen T

机构信息

Dept. of Enterovirus, Statens Seruminstitut, Copenhagen, Denmark.

出版信息

Scand J Gastroenterol. 1988 Apr;23(3):347-50. doi: 10.3109/00365528809093877.

DOI:10.3109/00365528809093877
PMID:3387900
Abstract

Only a few publications have dealt with the subjective symptoms, the paraclinical findings, or the epidemiology in relation to cultivation of C. pylori. Seventy-two patients answered a questionnaire containing questions about symptoms, dietary habits, smoking, and animal contact. C. pylori was cultivated from the biopsy specimens of 41 of these patients, and 31 were culture-negative. In addition, leukocyte count, differential count, and blood immunoglobulins were measured. In many culture-positive patients a variation in symptoms during the year was found, and symptoms had lasted more than 5 years. This was statistically significant for non-ulcer patients. In addition, we found initial abdominal pain and present vomiting to be significant features, but they did not seem to have any clinical significance. Unlike Marshall & Warren, we did not find ructus to be related to infections with C. pylori. In all other respects we found no differences between culture-negative and culture-positive patients. It was not possible to detect any descriptive variables in patients with C. pylori infections.

摘要

仅有少数出版物涉及与幽门螺杆菌培养相关的主观症状、临床旁检查结果或流行病学。72名患者回答了一份包含有关症状、饮食习惯、吸烟及动物接触问题的问卷。从其中41名患者的活检标本中培养出了幽门螺杆菌,31名患者培养结果为阴性。此外,还检测了白细胞计数、分类计数及血液免疫球蛋白。在许多培养阳性的患者中,发现其症状在一年中有变化,且症状持续超过5年。这在非溃疡患者中具有统计学意义。此外,我们发现初发腹痛和当前呕吐是显著特征,但它们似乎并无任何临床意义。与马歇尔和沃伦不同,我们未发现嗳气与幽门螺杆菌感染有关。在所有其他方面,我们未发现培养阴性和培养阳性患者之间存在差异。无法在幽门螺杆菌感染患者中检测到任何描述性变量。

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引用本文的文献

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Dig Dis Sci. 1998 Jan;43(1):90-4. doi: 10.1023/a:1018828105226.
2
Dyspepsia in healthy blood donors. Pattern of symptoms and association with Helicobacter pylori.健康献血者的消化不良。症状模式及与幽门螺杆菌的关联。
Dig Dis Sci. 1994 May;39(5):1090-8. doi: 10.1007/BF02087563.
3
Isolation and preliminary evaluation of a low-molecular-mass antigen preparation for improved detection of Helicobacter pylori immunoglobulin G antibodies.
一种用于改进幽门螺杆菌免疫球蛋白G抗体检测的低分子量抗原制剂的分离及初步评估
Clin Diagn Lab Immunol. 1995 Mar;2(2):156-9. doi: 10.1128/cdli.2.2.156-159.1995.
4
Evaluation of 13C-urea breath test in the detection of Helicobacter pylori and in monitoring the effect of tripotassium dicitratobismuthate in non-ulcer dyspepsia.13C-尿素呼气试验在检测幽门螺杆菌及监测枸橼酸铋钾治疗非溃疡性消化不良疗效中的应用评估
Gut. 1990 Nov;31(11):1237-41. doi: 10.1136/gut.31.11.1237.
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Immunoglobulin G antibodies to Helicobacter pylori in patients with dyspeptic symptoms investigated by the western immunoblot technique.采用免疫印迹技术对有消化不良症状患者的幽门螺杆菌免疫球蛋白G抗体进行研究。
J Clin Microbiol. 1992 Jul;30(7):1743-51. doi: 10.1128/jcm.30.7.1743-1751.1992.