首页|非酒精性脂肪性肝病与幽门螺杆菌感染关系的探讨

非酒精性脂肪性肝病与幽门螺杆菌感染关系的探讨

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目的 探讨H.pylori感染与非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)之间的相关性.方法 收集2022年1月至2022年10月就诊于我院消化科门诊,行13C呼气试验,完成腹部超声检查并有完整血生化结果的289例患者的数据.应用Logistic 回归性分析H.pylori感染与NAFLD的相关性.结果 H.pylori阳性组NAFLD患病率显著高于H.pylori阴性组,分别为 46.8%(58/124)和 29.1%(48/165)(P=0.002).NAFLD 组 H.pylori 感染率明显高于非 NAFLD 组,分别为 54.7%(58/106)和36.1%(66/183)(P=0.002).在H.pylori感染患者中,NALFD患者和非NAFLD患者的13C呼气试验的BOD值分别为29.5± 2.65和34.3±2.46,差异无统计学意义(P=0.1885).在NAFLD患者和非NAFLD患者中,H.pylori阳性组和阴性组之间的各项血生化指标差异均无统计学意义(P>0.05).多因素Logistic回归分析结果显示,H.pylori感染者较H.pylori非感染者患NAFLD风险更大,差异有统计学意义(P=0.001).结论 H.pylori感染者更易发生NAFLD,H.pylori感染是NAFLD的独立危险因素;反之,NAFLD患者有更高的H.pylori感染率,两者存在一定的相关性.
The relationship between non-alcoholic fatty liver disease and Helicobacter pylori infection
Objective To investigate the relationship between H.pylori infection and non-alcoholic fatty liver disease(NAFLD).Methods A total of 289 patients were encountered in our hospital from Jan.2022 to Oct.2022,and 13C-UBT,abdominal ultrasound examination,liver function,renal function,blood glucose and blood lipids were ob-tained.Logistic analysis was used to analyze the correlation between H.pylori infection and NAFLD.Results The prev-alence of NAFLD in H.pylori positive group(46.8%,58/124)was significantly higher than that in H.pylori negative group(29.1%,48/165)(P=0.002).The H.pylori infection rate in NAFLD group(54.7%,58/106)was higher than that in non-NAFLD group(36.1%,66/183)(P=0.002).In patients with H.pylori infection,the BOD values of 13C-UBT in NALFD patients and non-NAFLD patients were 29.5±2.65 and 34.3±2.46,respectively,with no statistical difference(P=0.1885).In NAFLD patients and non-NAFLD patients,there was no significant difference in liver func-tion,renal function,blood glucose and blood lipids between H.pylori positive group and negative group(P>0.05).Multivariate Logistic regression analysis showed that the risk of NAFLD in H.pylori infected patients was higher than that in H.pylori non-infected patients,with statistical difference(P=0.001).Conclusion H.pylori infected patients are more likely to develop NAFLD.H.pylori infection is an independent risk factor for NAFLD.NAFLD patients have a higher H.pylori infection rate,and there may be a correlation between H.pylori infection and NAFLD.

Helicobacter pyloriNon-alcoholic fatty liver diseaseRelevance

方颖、金家东、黄冬波、朱新宇、周达

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复旦大学附属中山医院消化科,上海 200032

幽门螺杆菌 非酒精性脂肪性肝病 相关性

上海市自然科学基金国家自然科学基金青年基金上海市青年科技英才"扬帆计划"项目

22ZR14608008180051018YF1415900

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(3)
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