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山东大学学报(医学版)

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控制牙菌斑对胃粘膜幽门螺旋杆菌检出率的影响

贾春玲1,杨学馨1,王 磊1,李翠荣2   

  1. 山东大学齐鲁医院 1. 口腔科; 2. 消化内科, 济南 250012
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-08-16 发布日期:2008-08-16
  • 通讯作者: 贾春玲

Control of dental plaque on helicobacter pylori in gastric mucosa

JIA Chun-ling1, YANG Xue-xin1, WANG Lei1, LI Cui-rong2   

  1. 1. Department of Stomatology; 2. Department of Gastroenterology, Qilu hospital of Shandong University, Jinan 250012, China

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-08-16 Published:2008-08-16
  • Contact: JIA Chun-ling

摘要:

目的〓〖HTK〗通过检测胃粘膜幽门螺旋杆菌(HP),观察控制牙菌斑对胃粘膜HP检出率的影响,探讨口腔和胃内HP的相关性。〖HTW〗方法〓〖HTK〗将根除胃内HP的患者108例分为试验组(n=56)和对照组(n=52)。试验组行彻底的牙菌斑控制,对照组未行牙菌斑控制或控制失败。半年后均行胃镜复查,并行病理检查和快速尿素酶试验检测胃内HP,确定其检出率。〖HTW〗结果〓〖HTK〗试验组56例患者中胃HP阳性者11例,检出率为19.6%;对照组52例患者中胃HP阳性者42例,检出率为80.8%,试验组胃粘膜中HP的检出率明显低于对照组(P<0.05)。〖HTW〗结论〓〖HTK〗口腔与胃HP感染之间具有明显相关性。提示治疗HP相关性胃病时,应注意口腔卫生,控制牙菌斑。

关键词: 幽门螺旋杆菌, 检出率, 胃粘膜, 牙菌斑

Abstract:

Objective〓〖WTBZ〗To explore the relationship between oral and gastric mucosa helicobacter pylori (H. pylori). 〖WTHZ〗Methods〓〖WTBZ〗108 patients without H. pylori in their gastric mucosa were assigned into the experimental group (n=56) and the control group (n=52). Dental plaque was completely controlled in the experimental group and was not controlled or not successfully controlled in the control group. All patients re-underwent endoscopies after half a year. By endoscopies, biopsies were taken from the gastric mucosa. Histological examination and rapid Urease test were used to determine the presence of H. pylori. 〖WTHZ〗Results〓〖WTBZ〗H. pylori was found in 11 cases (19.6%) in the experimental group and 42 cases (80.8%) in the control group. The presence of H. pylori was significantly lower in the experimental group than that in the control group (P<0.05). 〖WTHZ〗Conclusion〓〖WTBZ〗There are significant relationships between oral and gastric H. pylori infection, indicating dental plaque should be controlled in treatment of H. pylori-related gastric diseases.

Key words: Dental plaque, Gastric mucosa, Helicobacter pylori, Detection rate

中图分类号: 

  • R573.1
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