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慢性胃炎临床治疗中进行幽门螺杆菌检测的临床应用价值

Clinical Value of Detecting Helicobacter Pylori in Clinical Treatment of Chronic Gastritis
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摘要 目的 分析在慢性胃炎临床治疗中开展幽门螺杆菌检测的价值,为临床后续治疗提供支持。方法 此研究采取回顾性研究方式展开,随机取我院2019年2月至2020年1月内接诊的慢性胃炎患者63例设为观察组展开研究,同时选取该时段内无上消化道症状的健康者60例设为对照组进行对比分析。总结分析两组研究对象的一般资料后,开展胃镜检查、病理检测、Hp检测,对比分析两组受检者各项检测结果。结果 观察组患者阴性例数为2例,阴性率为3.17%,阳性例数为61例,阳性率为96.83%,对照组患者阴性例数为60例,阴性率为100%,阳性例数为0,阳性率为0,差异显著(P <0.05),观察组患者误诊率为3.17%,漏诊率为1.59%,检出准确率为95.24%,对照组患者误诊率为0%,漏诊率为0,检出准确率为100%,差异显著(P <0.05)。结论已经临床研究证实,幽门螺杆菌是引发慢性胃炎的主要致病因素,但慢性胃炎的发病,并非全都是幽门螺杆菌感染而导致的;因此在实际治疗过程中,需进一步明确患者不同发病原因,后选择针对性的治疗方案,从而提高临床疗效并改善预后。 Objective To analyze the value of Helicobacter pylori detection in the clinical treatment of chronic gastritis,and to provide support for clinical follow-up treatment.Methods This study was carried out in a retrospective way.Sixty-three patients with chronic gastritis who were admitted to our hospital from February 2019 to January 2020 were randomly selected as the observation group for the study,at the same time,60 healthy people without upper gastrointestinal symptoms during this period were selected as the control group for comparative analysis.The general data of the two groups of subjects were summarized and analyzed,and then gastroscopic examination,pathological examination,and Hp detection were carried out.Compare the results of the two groups.Results The number of negative cases in the observation group was 2,the negative rate was 3.17%,the number of positive cases was 61,the positive rate was 96.83%,and the number of negative cases in the control group was 60,the negative rate was 100%,and the number of positive cases was 0,the positive rate was 0,and the difference was significant(P<0.05).The misdiagnosis rate of the observation group was 3.17%,the missed diagnosis rate was 1.59%,the detection accuracy was 95.24%,and the misdiagnosis rate of the control group was 0.The missed diagnosis rate was 0,and the detection accuracy rate was 100%,with significant difference(P<0.05).Conclusion It has been confirmed by clinical studies that Helicobacter pylori is the main pathogenic factor causing chronic gastritis,but the pathogenesis of chronic gastritis is not all caused by Helicobacter pylori infection;therefore,in the actual treatment process,it is necessary to further clarify the different diseases reasons of patients,and then choose a targeted treatment plan,thereby improving clinical efficacy and improving prognosis.
作者 陶琴琴 TAO Qinqin(Panjin Central Hospital,Panjin 124000,China)
机构地区 盘锦市中心医院
出处 《中国医药指南》 2022年第36期91-93,共3页 Guide of China Medicine
关键词 慢性胃炎 上消化道症状 幽门螺杆菌检测 临床应用价值 Chronic gastritis Upper gastrointestinal symptoms Helicobacter pylori detection Clinical value
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