慢性特发性荨麻疹患者不宜追求根除幽门螺杆菌

Helicobacter pylori eradication therapy is not necessary for the patients with chronic idiopathic urticaria

国内外不少研究认为幽门螺杆菌感染与慢性特发性荨麻疹有关系,但其导致发病的确切证据不足。临床实行幽门螺杆菌根除治疗方案后,荨麻疹病情改善不明显,且有增加幽门螺杆菌耐药的风险,弊大于利,不宜追求根除,仅可进行适度治疗。

Some researches at home and abroad show that the Helicobacter pylori（H.pylori） infection has a relationship with chronic idiopathic urticaria,but there is no enough tangible evidence to prove the causal relationship.In clinic,urticaria is not obviously improved after H.pylori eradication therapy,and it increases the risk of developing drug resistance of H.pylori.The treatment does more harm than good to the patients.So H.pylori eradication therapy is not necessary and can only be carried out in moderation.