小儿胃脘痛临床诊断初步分析

The preliminary analysis of the clinical diagnosis for the stomachache of children

目的探讨以胃脘痛为主要临床表现的患儿消化道疾病发病情况及与HP感染的关系。方法借助胃镜检测手段对450例患儿进行临床初步诊断,同时通过病理检测及相关HP检测,研究消化道疾病与HP感染的关系。结果疾病检出率96%,HP感染率31.8%,HP感染前3位疾病分别为消化性溃疡(51.7%)、浅表性胃炎(33.0%)、十二指肠炎(26.7%),HP感染者病理显示组织损伤明显,两者病变程度呈正比。结论小儿消化道疾病发病率较高,临床缺乏明显的症状与体征,应予高度重视;HP感染率年龄越大发病率越高;HP感染是导致消化性溃疡、浅表性胃炎的主要因素之一。

objective To explore the relationship between the incidence of diseases in alimentary tract and HP infection in children. Methods 450 cases were researched with gastroscope, pathological method and the detection of HP, study the relationship between the digestive canal diseases and HP. Results The detectable rate of digestive canal disease was 96 % ; the infection rate of HP was 31.8 % ; peptic ulcer, su- perficial gastritis, duodenitis were the top three diseases with HP infection. Pathologic picture displayed that tissue injury obviously, and the pathologic change appeared direct ratio. Conclusion The incidence of di- gestive diseases in children is high, but there are not obvious symptoms and signs, so we should pay special attention to them ; the infection rate of HP is higher in the older children ; HP infection is one of the major reasons which lead to peptic ulcer, superficial gastritis.