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糖尿病患者中幽门螺杆菌的血清阳性率较高。

High seroprevalence of Helicobacter pylori in diabetes mellitus patients.

作者信息

Oldenburg B, Diepersloot R J, Hoekstra J B

机构信息

Department of Internal Medicine, Diakonessen Hospital, Utrecht, The Netherlands.

出版信息

Dig Dis Sci. 1996 Mar;41(3):458-61. doi: 10.1007/BF02282318.

DOI:10.1007/BF02282318
PMID:8617115
Abstract

To assess the prevalence of Helicobacter pylori in diabetes mellitus, a serological test used to detect antibodies to H. Pylori in patients with diabetes mellitus. Within six months, 45 insulin-dependent, 98 non-insulin-dependent, and a control group of 159 outpatients were enrolled in this study. The age adjusted seroprevalence rate of Helicobacter pylori were determined using a commercial anti-Helicobacter pylori IgC and IgA ELISA (Bio-Rad). The prevalence rates increased with age in all age groups until 60-70 years. In diabetic patients, the frequency of Helicobacter pylori infection was higher than control subjects in nearly all age groups, reaching significance in three age categories of NIDDM patients and in one age category in IDDM patients. This higher seroprevalence could not be explained by differences in socioeconomic status or use of antibiotics.

摘要

为评估糖尿病患者中幽门螺杆菌的感染率,采用血清学检测方法检测糖尿病患者体内抗幽门螺杆菌抗体。在六个月内,本研究纳入了45例胰岛素依赖型患者、98例非胰岛素依赖型患者以及159例门诊对照组患者。使用商用抗幽门螺杆菌IgC和IgA酶联免疫吸附测定法(伯乐公司)测定幽门螺杆菌的年龄校正血清流行率。在所有年龄组中,直至60 - 70岁,流行率均随年龄增长而升高。在糖尿病患者中,几乎所有年龄组的幽门螺杆菌感染频率均高于对照组,在非胰岛素依赖型糖尿病患者的三个年龄类别以及胰岛素依赖型糖尿病患者的一个年龄类别中达到显著水平。这种较高的血清流行率无法用社会经济地位或抗生素使用差异来解释。

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本文引用的文献

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In vitro production of interleukin-1, interleukin-6, and tumor necrosis factor-alpha in insulin-dependent diabetes mellitus.胰岛素依赖型糖尿病中白细胞介素-1、白细胞介素-6和肿瘤坏死因子-α的体外产生
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Gastrointestinal manifestations of diabetes.糖尿病的胃肠道表现
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Male non-insulin users with type 2 diabetes mellitus are predisposed to gastric corpus-predominant inflammation after H. pylori infection.男性 2 型糖尿病非胰岛素使用者在感染幽门螺杆菌后易发生胃体为主的炎症。
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The association of Helicobacter pylori with choroidal and retinal nerve fiber layer thickness.幽门螺杆菌与脉络膜及视网膜神经纤维层厚度的关联。
Int Ophthalmol. 2018 Oct;38(5):1915-1922. doi: 10.1007/s10792-017-0677-1. Epub 2017 Aug 5.
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Helicobacter Pylori Infection in Children with Type 1 Diabetes Mellitus: A Case-Control Study.1型糖尿病患儿幽门螺杆菌感染:一项病例对照研究。
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N Engl J Med. 1966 Dec 15;275(24):1350-61. doi: 10.1056/NEJM196612152752406.
4
Humoral immune response and delayed type hypersensitivity to influenza vaccine in patients with diabetes mellitus.糖尿病患者对流感疫苗的体液免疫反应和迟发型超敏反应
Diabetologia. 1987 Jun;30(6):397-401. doi: 10.1007/BF00292541.
5
Impairment of monocyte "lectin-like" receptor activity in type 1 (insulin-dependent) diabetic patients.1型(胰岛素依赖型)糖尿病患者单核细胞“凝集素样”受体活性受损。
Diabetologia. 1987 Apr;30(4):228-31. doi: 10.1007/BF00270420.
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Evidence that the reduced number of natural killer cells in type 1 (insulin-dependent) diabetes may be genetically determined.1型(胰岛素依赖型)糖尿病患者体内自然杀伤细胞数量减少可能由基因决定的证据。
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Lancet. 1988 May 7;1(8593):1055. doi: 10.1016/s0140-6736(88)91877-6.
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Intrafamilial clustering of Helicobacter pylori infection.幽门螺杆菌感染的家族内聚集性。
N Engl J Med. 1990 Feb 8;322(6):359-63. doi: 10.1056/NEJM199002083220603.
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Evaluation of a commercial ELISA for serodiagnosis of Helicobacter pylori infection.用于幽门螺杆菌感染血清学诊断的一种商用酶联免疫吸附测定法的评估。
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Epidemiology of Helicobacter pylori in an asymptomatic population in the United States. Effect of age, race, and socioeconomic status.美国无症状人群中幽门螺杆菌的流行病学。年龄、种族和社会经济地位的影响。
Gastroenterology. 1991 Jun;100(6):1495-501. doi: 10.1016/0016-5085(91)90644-z.