中国当代医药2024,Vol.31Issue(10) :40-43,49.

根除幽门螺杆菌治疗对便秘型肠易激综合征患者胃肠道激素水平及生活质量的影响

Effect of Helicobacter pylori eradication therapy on gastrointestinal hor-mone levels and quality of life in patients with constipation-type irritable bowel syndrome

梁楚琳 黄国庆 桑铭志 刘序友
中国当代医药2024,Vol.31Issue(10) :40-43,49.

根除幽门螺杆菌治疗对便秘型肠易激综合征患者胃肠道激素水平及生活质量的影响

Effect of Helicobacter pylori eradication therapy on gastrointestinal hor-mone levels and quality of life in patients with constipation-type irritable bowel syndrome

梁楚琳 1黄国庆 1桑铭志 1刘序友1
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作者信息

  • 1. 暨南大学附属广州红十字会医院消化内科,广东广州 510220
  • 折叠

摘要

目的 探讨幽门螺杆菌(Hp)感染对便秘型肠易激综合征(IBS-C)患者胃肠激素水平及生活质量的影响.方法 回顾性选取2021年7月至2022年6月广州市红十字会医院收治的158例IBS-C且14C呼气试验阳性患者为研究对象,根据是否接受根除Hp治疗分为对照组(64例)和观察组(94例).对照组给予常规治疗,观察组在常规治疗的基础上予根除Hp治疗.比较两组患者治疗前后的生长抑素(SS)、血浆胃动素(MTL)、胃泌素-17(G-17)以及血管活性肠肽(VIP)水平及肠易激综合征生活质量量表(IBS-QOL)评分.结果 治疗前,观察组与对照组患者的胃肠激素水平及IBS-QOL评分比较,差异无统计学意义(P>0.05).两组患者治疗后的SS、G-17及VIP水平低于治疗前,MTL水平高于治疗前,差异有统计学意义(P<0.05).治疗后,观察组患者的SS、G-17及VIP水平低于对照组,MTL水平高于对照组,差异有统计学意义(P<0.05).治疗后,观察组患者的IBS-QOL各维度评分及总分高于对照组,差异有统计学意义(P<0.05).结论 Hp感染可能与IBS-C发病相关,根除Hp治疗可调节胃肠道激素水平,有助于提高此类患者生活质量.

Abstract

Objective To investigate the effect of Helicobacter pylori(Hp)infection on gastrointestinal hormones and quality of life in patients with constipation-type irritable bowel syndrome(IBS-C).Methods A total of 158 patients with IBS-C and positive 14C breath test from July 2021 to June 2022 in Guangzhou Red Cross Hospital were selected as research objecys,they were divided into control group(64 cases)and observation group(94 cases)according to whether they received Hp eradication therapy.The control group was given conventional treatment,and the observation group was given Hp eradication therapy on the basis of conventional treatment.The level of somatostatin(SS),plasma motilin(MTL),gastrin-17(G-17),vasoactive intestinal peptide(VIP)and irritable bowel syndrome-quality of life(IBS-QOL)scores between the two groups were compared before and after different treatments.Results Before treatment,there were no significant differences in gastrointestinal hormone level and IBS-QOL score between observation group and control group(P>0.05).The SS,G-17 and VIP levels after treatment were lower than before treatment,and the MTL level was higher than before treatment,with statistical significance(P<0.05).After treatment,the SS,G-17 and VIP levels in observation group were lower than those in control group,and the MTL level was higher than that in control group,with statistical significance(P<0.05).After treatment,the IBS-QOL scores and total scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Hp infection may be associated with the onset of IBS-C,and eradicating Hp treatment can regulate gastrointestinal hormone levels,which can help improve the quality of life of such patients.

关键词

幽门螺杆菌/便秘型肠易激综合征/胃肠道激素/生活质量评分

Key words

Helicobacter pylori/Constipation-type irri-table bowel syndrome/Gastrointestinal hormones/Quality of life score

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基金项目

国家自然科学基金面上项目(81972211)

广东省广州市卫生健康科技西医一般引导项目(20201A010014)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量23
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