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幽门螺杆菌感染与中医体质的关系研究

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目的 探讨幽门螺杆菌(Hp)感染与中医体质、生化指标的关系。方法 选取 175 例患者,根据是否感染Hp分为感染组(85 例)及非感染组(90 例)。分析Hp感染的单因素,比较两组患者的胃功能指标[胃蛋白酶原Ⅰ(PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)、胃蛋白酶原Ⅰ和Ⅱ的比值(PGR)、胃泌素-17(G-17)]水平,分析Hp感染的影响因素。结果 两组患者的年龄、缺乏运动、总胆固醇(TC)、甘油三酯(TG)、体质量指数(BMI)、中医体质比较(P<0。2);两组患者的性别、饮食、作息、吸烟、饮酒、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(GLU)、尿酸(UA)、收缩压(SBP)、舒张压(DBP)比较(P>0。2)。感染组的PGⅠ、PGⅡ、G-17 均高于非感染组,PGR低于非感染组,差异有统计学意义(P<0。05)。将单因素分析中的年龄、缺乏运动、TC、TG、BMI、中医体质作为自变量,Hp是否感染作为因变量纳入多因素Logistic回归分析,调整变量后统计结果示显示,年龄、缺乏运动、阴虚质、气郁质、血瘀质、湿热质、TC、BMI为Hp感染的影响因素(OR=1。043、2。344、6。716、3。643、6。233、18。110、0。632、0。904,P<0。05)。Hp感染的中医体质风险程度依次是湿热质>阴虚质>血瘀质>气郁质。结论 湿热质、阴虚质、血瘀质、气郁质是Hp感染的易感体质,Hp感染与胃功能受损有关。
Study on correlation between Helicobacter pylori infection and traditional Chinese medicine constitution
Objective To explore the correlation between Helicobacter pylori(Hp)infection and traditional Chinese medicine constitution.Methods 175 patients were selected and divided into infected group(85 cases)and non-infected group(90 cases)according to whether they were infected with Hp or not.The single factor of Hp infection was analyzed,and the levels of gastric function indexes[pepsinogen Ⅰ(PGⅠ),pepsinogen Ⅱ(PG Ⅱ),ratio of PG Ⅰ/PG Ⅱ(PGR),and gastrin-17(G-17)]were compared between the two groups of patients,and the influencing factors of Hp infection were analyzed.Results Age,lack of exercise,total cholesterol(TC),triglyceride(TG),body mass index(BMI)and traditional Chinese medicine constitution were compared between the two groups(P<0.2).Gender,diet,rest,smoking,drinking,high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),fasting blood glucose(GLU),uric acid(UA),systolic blood pressure(SBP)and diastolic blood pressure(DBP)were compared between the two groups(P>0.2).The levels of PGⅠ,PGⅡ and G-17 in the infected group were higher than those in the non-infected group,and the PGR was lower than that in the non-infected group.The difference was statistically significant(P<0.05).Age,lack of exercise,TC,TG,BMI,and Chinese medicine constitution in the univariate analysis were taken as independent variables,and Hp infection or not as dependent variables were included in multivariate Logistic regression analysis,and after adjusting for the variables,the statistical results were shown to indicate that age,lack of exercise,Yin-deficiency constitution,Qi-depression constitution,blood stasis constitution,damp-heat constitution,TC,and BMI were the influencing factors for Hp infection(OR=1.043,2.344,6.716,3.643,6.233,18.110,0.632,0.904;P<0.05).The risk of traditional Chinese medicine constitution for Hp infection was in the order of damp-heat constitution>Yin-deficiency constitution>blood stasis constitution>Qi-depression constitution.Conclusion Damp-heat constitution,Yin-deficiency constitution,blood stasis constitution and Qi-depression constitution are susceptible to Hp infection,and Hp infection is associated with impaired gastric function.

Helicobacter pylori infectionTraditional Chinese medicine constitutionGastric function

陈金凤、颜丽斯、程月嫦、李健强、陈日聪

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528234 南海经济开发区人民医院

幽门螺杆菌感染 中医体质 胃功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(17)