赣南医学院学报2024,Vol.44Issue(7) :736-740.DOI:10.3969/j.issn.1001-5779.2024.07.015

维生素D对幽门螺杆菌感染及根除影响的研究进展

Research progress on the effect of vitamin D on helicobacter pylori infection and eradication

秦性涛 谢军
赣南医学院学报2024,Vol.44Issue(7) :736-740.DOI:10.3969/j.issn.1001-5779.2024.07.015

维生素D对幽门螺杆菌感染及根除影响的研究进展

Research progress on the effect of vitamin D on helicobacter pylori infection and eradication

秦性涛 1谢军2
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作者信息

  • 1. 赣南医科大学第一临床医学院
  • 2. 赣南医科大学第一附属医院消化内科,江西 赣州 341000
  • 折叠

摘要

幽门螺杆菌(Helicobacter pylori,Hp)是一种胃内定植的,与胃炎、消化性溃疡、胃癌及一些胃外疾病的发生发展密切相关的细菌.据统计,全球有将近一半的人感染了Hp,我国目前推荐以1种质子泵抑制剂(Proton pump inhibitor,PPI)+2种抗生素+铋剂作为一线用药进行Hp根除.但因为抗生素的滥用导致耐药、患者的依从性差、治疗周期长、易反复感染等原因,Hp的根除率在逐步下降,因此如何在目前治疗方案中提高Hp的根除率显得尤为重要.维生素D的主要作用是调节钙和磷的代谢来维持人体健康的骨骼,大量证据表明它在保护人类宿主免受细菌和病毒入侵上也发挥了重要作用,抗菌机制包括产生细胞因子、抗菌蛋白和模式识别受体.近年来有研究发现,维生素D在Hp的根除中发挥着重要作用,本文就维生素D对Hp感染及根除的影响进行综述.

Abstract

Helicobacter pylori(Hp)is a bacterium that colonizes the stomach and is closely related to the occurrence and development of gastritis,peptic ulcer,gastric cancer,and some extragastric diseases.According to statistics,nearly half of the world's population are infected with helicobacter pylori.Currently,China recommends using one PPI,two antibiotics,and bismuth as the first line medication to eradicate helicobacter pylori.However,due to the abuse of antibiotics leading to drug resistance,poor patient compliance,long treatment cycles,and susceptibility to recurrent infections,the eradication rate of helicobacter pylori is gradually decreasing.Therefore,it is particularly important to improve the eradication rate of Hp in the current treatment.The main function of vitamin D is to regulate the metabolism of calcium and phosphorus to maintain healthy bones in the human body.Numerous evidence suggests that it also plays an important role in protecting human hosts from bacterial and viral invasion.Antibacterial mechanisms include the production of cytokines,antibacterial proteins,and pattern recognition receptors.In recent years,studies have suggested that vitamin D can also play an important role in the eradication of helicobacter pylori.This article reviews the impact of vitamin D on helicobacter pylori infection and eradication.

关键词

幽门螺杆菌/维生素D/根除治疗

Key words

Helicobacter pylori/Vitamin D/Eradication treatment

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出版年

2024
赣南医学院学报
赣南医学院

赣南医学院学报

影响因子:0.622
ISSN:1001-5779
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