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慢性胃炎患者幽门螺杆菌根除与肾功能之间的关联:一项回顾性单中心研究

Association Between Helicobacter pylori Eradication and Kidney Function in Patients With Chronic Gastritis: A Retrospective Single-Center Study.

作者信息

Aljahdli Emad, Almaghrabi Sahar J, Alhejaili Talal L, Alghamdi Waleed

机构信息

Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU.

Medical Student, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2022 Jan 26;14(1):e21621. doi: 10.7759/cureus.21621. eCollection 2022 Jan.

Abstract

Background (HP) is a common bacterium that globally infects humans. The significance of HP infection and eradication of kidney impairment remain ambiguous. Moreover, little is known about whether elimination of the bacteria has any consequence on kidney function. This study aimed to explore the relationship between HP eradication and kidney function in patients with chronic gastritis (CG). Methodology We retrospectively reviewed the records of all CG patients with eradicated HP at King Abdulaziz University Hospital between June 2002 and June 2021. All patients older than 18 years, diagnosed with CG in whom HP had been eradicated, were included. Out of 1,936 patients' records, only 46 met the criteria. Results The mean age of the study sample was 48 years; in addition, 58.7% of the patients were obese. There was no significant difference in serum creatinine, blood urea nitrogen, and glomerular filtration rate after HP eradication (P-values of 0.414, 0.112, and 0.300, respectively). Conclusions We found no relationship between the eradication of HP and improvement in renal function. However, prospective population-based studies must be conducted to assess an association between HP eradication and renal function, as well the future risk of nephropathy with the persistence of HP. As such, we recommend a multicenter study that includes a representative sample size.

摘要

背景 幽门螺杆菌(HP)是一种全球范围内感染人类的常见细菌。HP感染与消除肾脏损害之间的关系仍不明确。此外,关于根除该细菌是否会对肾功能产生任何影响,人们知之甚少。本研究旨在探讨慢性胃炎(CG)患者中HP根除与肾功能之间的关系。方法 我们回顾性分析了2002年6月至2021年6月在阿卜杜勒阿齐兹国王大学医院根除HP的所有CG患者的记录。纳入所有年龄大于18岁、被诊断为CG且HP已被根除的患者。在1936例患者记录中,只有46例符合标准。结果 研究样本的平均年龄为48岁;此外,58.7%的患者肥胖。HP根除后血清肌酐、血尿素氮和肾小球滤过率无显著差异(P值分别为0.414、0.112和0.300)。结论 我们发现HP根除与肾功能改善之间没有关系。然而,必须进行基于人群的前瞻性研究,以评估HP根除与肾功能之间的关联,以及HP持续存在时未来肾病的风险。因此,我们建议开展一项包括具有代表性样本量的多中心研究。

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