首页|幽门螺杆菌感染对新冠病毒感染的临床表现和转归的影响

幽门螺杆菌感染对新冠病毒感染的临床表现和转归的影响

The effect of Helicobacter pylori infection on clinical course of SARS-CoV-2 infections

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目的 评估幽门螺杆菌(Helicobacter pylori,Hp)对新冠病毒感染的临床表现和转归的影响.方法 以在医院通过C14 呼气试验或快速尿素酶试验检测Hp感染的患者为调查对象,了解其中既往感染新冠病毒的新冠感染表现、症状明显改善的时间,收集患者Hp感染情况及基本社会人口学资料.结果 共调查 502 例既往新冠感染者,其中 189 例Hp 阳性,313 例 Hp 阴性.Hp 阳性者的腹痛发生率(12.2%)、腹胀发生率(10.1%)、腹泻发生率(34.9%),均明显高于Hp阴性者(5.1%、3.5%、24.3%),差异均有统计学意义(P<0.05).28.8%的Hp阴性者新冠核酸/抗原在一周内转阴,6.3%的 Hp阳性者新冠核酸/抗原在一周内转阴,2 者差异有统计学意义(P<0.05).Hp阳性和阴性者感染新冠病毒后 3 天内症状明显改善的比例,差异无统计学意义(χ2=1.795,P=0.180).结论 与Hp阴性者相比,Hp阳性者感染新冠病毒后腹痛、腹泻、腹胀的发生率更高;Hp的存在显著影响新冠抗原或核酸转阴时间,但不影响症状缓解的时间.
Objective To evaluate the effect of Helicobacter pylori(Hp)on the clinical manifestations and outcomes of SARS-CoV-2 infection.Methods Patients undergoing C14 breath test or rapid urease test for Hp infection in the hospital were selected for investigation.The study aims to understand the clinical presentation of COVID-19 in patients with prior Hp infection,the time frame for significant improvement in symptoms of COVID-19,and to collect data on Hp infection status and basic socio-demographic information of the patients.The survey included the clinical manifestations of SARS-CoV-2,the time to significant symptom improvement among those with a history of SARS-CoV-2 infection,Hp infection status and basic sociodemographic information.Results A total of 502 patients with a history of SARS-CoV-2 infection were surveyed,including 189 Hp-positive and 313 Hp-negative cases.The incidence of abdominal pain(12.2%),abdominal distension(10.1%),and diarrhea(34.9%)in Hp-positive patients were significantly higher than those in Hp-negative patients(5.1%,3.5%,24.3%,respectively),with all differences being statistically significant(P<0.05).Among Hp-negative patients,28.8%had negative conversion of SARS-CoV-2 nucleic acid/antigen within one week,while among Hp-positive patients,only 6.3%had negative conversion within the same period,showing a statistically significant difference(P<0.05);There was no statistically significant differences in the proportion of patients with significant symptom improvement within three days after contracting SARS-CoV-2 between Hp-positive(25.4%)and-negative patients(31.0%)(=1.795,P=0.180).Conclusions Compared to Hp-negative patients,Hp-positive patients had higher rates of abdominal pain,diarrhea,and bloating after contracting SARS-CoV-2.The presence of Hp significantly influenced the time for SARS-CoV-2 antigen or nucleic acid conversion to negative,but did not affect the time for symptom relief.

SARS-CoV-2Helicobacter pyloridigestive system symptoms

钟雪晴、王可洋、徐阳、孙逸洁、李国熊

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杭州师范大学附属医院 消化内科,浙江 杭州 300015

新冠病毒 幽门螺杆菌 消化系统症状

浙江省自然科学基金青年项目杭州市生物医药和健康产业发展扶持科技专项

LQ19H0300022022WJC020

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(3)