节点文献

胃血色素指数的测定对幽门螺杆菌的诊断价值

Efficacy of index of haemoglobin on diagnosis of helicobacter pylori with chronic gastritis

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 王斌徐少勇常青胡素芳叶克凤

【Author】 WANG Bin, XU Shao -yong, CHANG Qing, HU Su -fang, YE Ke -feng(Department of Gastroenterology, the Affiliated People’s Hospital of Shiyan, Yunyang Medical College, Shiyan, Hubei 442000, P. R. China)

【机构】 湖北郧阳医学院附属人民医院消化科

【摘要】 目的探讨IHb测定对Hp的诊断价值。方法180例慢性胃炎患者胃镜检查时,测定胃IHb与Hp检测,对Hp阳性患者80例,行根除治疗后1个月,进行了IHb测定和Hp检测。结果180例患者中,Hp阳性者为102例,阴性者78例,两组间IHb值比较差异有显著性(Jp<0.01)。当把IHb判定Hp阳性分界值设定为60时,对Hp感染诊断的敏感性为89.22%,特异性为93.59%,诊断准确性91.11%。根除Hp治疗1月后,根除成功71例中,根除前、后1个月IHb值分别为(65.2±4.7)、(56.7±4.3),两者比较差异有显著性(P<0.01);根除不成功9例中,根除前、后1个月IHb分别为(64.5±4.6)、(63.6±4.5),两者比较差异无显著性(P>0.05)。结论进行胃镜检查时,可以迅速而简便测定胃IHb值对Hp感染和除菌诊断是有价值的,值得推广应用;但IHb对诊断Hp感染设定值还需进一步研究。

【Abstract】 [ Objectives ] To evaluate the efficacy of index of haemoglobin (IHb) on diagnosis of Helicobacter pylori (Hp) with chronic gastritis. [Methods] Both IHb and Hp were detected in 180 patients with chronic gastritis when they accepted gastroscope detection. Both IHb and Hp were detected again in 80 Hp positive patients after they accepted eradicated therapy 1 month or so. [ Results ] There were 102 patients whose Hp detection showed positive in 120 patients with chronic gastritis. The value of IHb in the Hp positive patients was significantly different from those of Hp negative patients (P <0.01). If we supposed that value of IHb to diagnose Hp positive was 60, the sensitivity of IHb on diagnosis of Hp was 89. 22% , while the specificity, 93. 59% , and nicety of judgment, 91. 11%. There were 80 patients who accepted eradicated therapy. In 71 patients who had successfully eliminated Hp, the value of IHb before eradicated therapy were (65.2±4.7) while after eradicated therapy was (56. 7±4. 3) , There was significantly difference IHb between before eradicated therapy and after eradicated therapy (P <0. 01). In 9 patients who have not successfully eliminated Hp, the value of IHb before eradicated therapy were (64.5±4.6) while after eradicated therapy was (63.6 ±4.5). There was no significantly difference between the value of IHb of the patients who had successfully eliminated Hp and those who not (P >0. 05). [Conclusions] When patients accepted gastroscope detection, IHb detection is quick and convenient. The value of IHb is meritorious on diagnosis of Hp as well as when Hp is eliminated. But the value of IHb to diagnose Hp is still unclear.

【关键词】 血色素指数Hp慢性胃炎胃镜
【Key words】 IHbhelicobacter pylorichronic gastritisgastroscope
  • 【会议录名称】 中国医师协会内镜医师分会成立大会、中国第十四届内镜医学学术大会、《中国内镜杂志》创刊十周年学术讨论会、恩德思奖(Endoscopics Award)颁奖大会论文汇编(二)
  • 【会议名称】中国医师协会内镜医师分会成立大会、中国第十四届内镜医学学术大会、《中国内镜杂志》创刊十周年学术讨论会、恩德思奖(Endoscopics Award)颁奖大会
  • 【会议时间】2005-06
  • 【会议地点】中国北京
  • 【分类号】R573.3
  • 【主办单位】中国医师协会、中国医师协会内镜医师分会、中华医学会继续教育部、恩德思奖评审委员会
节点文献中: 

本文链接的文献网络图示:

本文的引文网络