摘要
目的探讨儿童功能性消化不良(FD)临床特点,以及儿童FD不同亚型的胃排空和幽门螺杆菌(Hp)感染情况。方法对167例FD儿童以问卷形式询问病史,按症状给予分型。通过B超了解胃液体排空功能,通过胃窦黏膜组织病理和13C尿素呼气试验检测幽门螺杆菌感染情况。结果FD儿童167例,Hp阳性71例,阳性率42.5%。167例中动力障碍型101例,Hp阳性率56.4%;溃疡型38例,Hp阳性率21.0%;非特异型23例,Hp阳性率26.1%;反流型5例,Hp阳性率0;动力障碍型Hp阳性率明显高于其他三型,差异有统计学意义(P<0.05)。动力障碍型Hp阳性组胃液体排空率慢于Hp阴性组,差异有统计学意义(P<0.05)。结论儿童FD中以动力障碍这一亚型最常见。Hp与动力障碍型FD的关系密切。
Objective To investigate the proportion of the functional dyspepsia （FD） in children subgroup and explore their gastric emptying rate and relationships with helieobaeter pylori（Hp）. Methods One hundred and sixty - seven children with FD were typed according to their symptoms with questionnaires. Gastric emptying rate was measured by ultrasound method. Hp were detected by pathology of the gastric mueosa and ^13C - urea breath test. Results The total Hp - positive rate of FD is 42. 5% （71/167）. The cases and Hp -positive rate of the subgroup are 101,56. 4% in dysmotility -like dyspepsia;38,21.0% in ulcer- like dyspepsia;23,26. 1% in complex dyspepsia and 5,0% in reflux -like dyspepsia respectively. Hp -positive rate of dysmotility -like dyspepsia had significant difference from others （ P 〈0. 05）. Comparing with Hp（ - ） group, Hp（ ＋ ）group＇s gastric liquid emptying rate were much slower in dysmotility - like dyspepsia （ P 〈 0. 05 ）. Conclusion The dysmotility - like dyspepsia is most common. There is relationship between Hp and the dysmotility - like dyspepsia in children.
出处
《临床医学》
CAS
2007年第3期22-23,共2页
Clinical Medicine
