肝炎与胆汁返流性胃炎及HP感染的相关性分析

Hepatitis and Bile Reflux Gastritis and HP Infection Correlation Analysis

目的探讨肝炎与胆汁返流性胃炎及HP感染的相关性。方法回顾性分析7 206例行胃镜检查的患者(所有患者均在检查前完善了乙肝,丙肝,爱滋病,梅毒抗体检查),对比肝炎患者与非肝炎患者,胆汁返流性胃炎的发病率以及HP感染阳性率的差异。结果 (1)既有肝炎又同时患有胆汁返流性胃炎患者的发病率(27.75%),明显高于非肝炎者胆汁返流性胃炎的发病率(10.74%),两组差异有统计学意义(χ2=196.16,P<0.01)。(2)HP感染在肝炎患者的阳性率明显低于非肝炎患者,两组比较差异有统计学意义(χ2=6.92,P<0.01)。结论肝炎患者较非肝炎患者更易合并胆汁返流性胃炎但不宜合并HP感染。

Objective To investigate the relationship between hepatitis and bile reflux gastritis and HP infection. Methods A retrospective analysis of 7206 patients with gastroscopy were （all patients were improved the hepatitis B, AIDS, hepatitis C before inspection, test of syphilis antibody）, compared with non hepatitis B patients, the difference of positive rate of bile reflux gastritis？ and HP infection. Results （l）both B and with bile reflux gastritis, the incidence rate of 27. 75 %, significantly higher than that in non hepatitis bile reflux gastritis was 10.74%, there was significant difference between two groups（x^2 = 196.16, P〈0. 01）. （2）The positive rate of HP infection in hepatitis patients was significantly lower than the non hepatitis patients, there was significant difference between two groups （ x^2 = 6. 92, P 〈 0. 01）. Conclusion Patients with hepatitis B patients more easily than with bile reflux gastritis but not with HP infection.