门诊慢性胃炎患者的悉尼内镜胃炎分类及临床特征、Hp感染分析

Sydney endoscopic classification of gastritis,clinical characteristics and Hp infection in outpatients with chronic gastritis

目的:探究门诊慢性胃炎患者的悉尼内镜胃炎分类及临床特征、幽门螺杆菌(Hp)感染分析。方法:选取2020年8月-2023年8月医院收治的60例慢性胃炎患者作为研究对象,所有患者均进行胃镜检查,根据悉尼内镜胃炎分类对慢性胃炎患者进行分组,分析患者临床特征以及Hp感染情况。结果:60例患者中萎缩性胃炎7例(11.67%),非萎缩性胃炎42例(70.00%),特殊类型11例(18.33%),其中非萎缩性胃炎包括红斑渗出性胃炎22例(36.67%)、平坦糜烂性胃炎10例(16.67%)、皱襞肥大性胃炎1例(1.67%)、出血性胃炎9例(15.00%),特殊类型包括反流性胃炎6例(10.00%)、隆起糜烂性胃炎5例(8.33%),其中红斑渗出性胃炎占比最高,为36.67%,皱襞肥大性胃炎占比最低,为1.67%。60例慢性胃炎患者中男性占比较高,为53.33%;41~60岁的患者占比最高,为55.00%;慢性胃炎患者中以超重、不吸烟、不饮酒患者居多;轻度肠化患者占比较高,为48.34%;炎症活动性检测中,正常患者占比较高,但仍有3.33%的患者为重度浸润;33.33%的患者有淋巴滤泡形成。60例患者中共37例(61.67%)患者为Hp感染,其余23例(38.33%)为非Hp感染;不同悉尼内镜胃炎分类的慢性胃炎患者Hp感染情况比较:非萎缩性胃炎患者的Hp感染率显著高于萎缩性胃炎与特殊类型的患者(P<0.05)。结论:慢性胃炎不同悉尼内镜分型患者中,以红斑渗出性胃炎居多,中年超重患者占比较高且多数患者存在轻度肠化,超过一半的患者为Hp感染。

Objective:To explore Sydney endoscopic classification of gastritis,clinical characteristics and Helicobacter pylori(Hp)infection in outpatients with chronic gastritis.Methods:From August 2020 to August 2023,60 patients with chronic gastritis who underwent gastroscopy were selected as the research subjects.According to Sydney endoscopic classification of gastritis,the subjects were grouped.The patients’clinical characteristics and Hp infection status were analyzed.Results:Among the 60 patients,there were 7 cases of atrophic gastritis(11.67%),42 cases of non atrophic gastritis(70.00%),and 11 cases of special types(18.33%).Among them,non atrophic gastritis included 22 cases of erythematous exudative gastritis(36.67%),10 cases of flat erosive gastritis(16.67%),1 case of hypertrophic gastritis(1.67%),9 cases of hemorrhagic gastritis(15.00%),6 cases of reflux gastritis(10.00%),and 5 cases of protruding erosive gastritis(8.33%).Above results showed that the proportion of erythematous/exudative gastritis was the highest and the proportion of gastritis characterized by enlarged folds was the lowest.The proportion of males was relatively high,which was 53.33%.Most of the patients were aged 41-60,accounting for 55.00%.The majority of patients included were overweight,non-smokers,and non-drinkers.The proportion of patients with mild intestinal metaplasia was relatively high,which was 48.34%.In the detection of inflammatory activity,the proportion of normal patients was relatively high,but 3.33%of the patients had severe infiltration.33.33%of the patients had lymphoid follicles.A total of 37(61.67%)cases had Hp infection and the remaining 23(38.33%)cases without.Comparison of Hp infection in chronic gastritis patients with different Sydney endoscopic gastritis classifications:The Hp infection rate in non atrophic gastritis patients is significantly higher than that in atrophic gastritis and special types of patients(P<0.05).Conclusion:Among patients with different Sydney endoscopic subtypes of chronic gastritis,patients with erythematous/exudative gastritis are more common.Most of the patients are middle-aged and overweight.Besides,most patients have mild intestinal metaplasia.More than half of the patients have Hp infection.