摘要
目的研究儿童再发性腹痛(RAP)与上消化道疾病及幽门螺旋杆菌(HP)感染。方法对108例曾进行胃镜检查及幽门螺旋杆菌检测的患儿进行回顾性分析。结果①79例(73.1%)有黏膜炎性改变,其中慢性胃炎64例(81.0%),食道炎6例(7.6%),胃炎合并食道炎2例(2.5%),十二指肠球炎4例(5.1%),胃溃疡1例(1.3%),十二指肠溃疡3例(3.8%)。②HP感染62例(57.4%),其中慢性胃炎56例,食道炎1例,胃炎合并食道炎1例,十二指肠球炎0例,胃溃疡1例,十二指肠溃疡2例。HP阳性者黏膜均有炎性改变。HP感染率随年龄增长而增高。结论儿童RAP中上消化道疾病占较高比率,HP感染可能是引起RAP的主要原因之一。HP感染率随年龄增长而增高。
Objective To study the relationship of recurrent abdorminal pain(RAP) in children with upper gastrointestinal inflammation and helicobacter pylori(HP).Methods 108 patients were reviewed and analyzed. To all of them the fibrogastrocopic examination was adopted and HP was determined.Results ①Mucosal inflammation was found in 79(73.1%) cases,including chronic gastritis of 64(81.0%) cases,oesophagitis of 6(7.6%) cases,gastritis with oesophagitis of 2(2.5%) cases,duodenitis of 4(5.1%)cases,gastric ulcer of 1(1.3%)case and duodenal ulcer of 3(3.8%) cases. ② 62(57.4%) cases were infected by HP, including chronic gastritis of 57 cases, oesophagitis of 1 case, gastritis with oesophagitis of 1 case, gastric ulcer of 1 case and duodenal ulcer of 2 cases, no duodenitis. All HP positive cases had mucosal inflammation. The proportion of HP infection increased with the growth of ages.Conclusion Upper gastrointestinal pathology is common in children with RAP. Maybe HP infection is one of the main reasons to cause RAP. The proportion of HP infection increased with the growth of ages.
出处
《中国医药导报》
CAS
2006年第9期14-15,共2页
China Medical Herald
