[1]闫静静,韩 怡.幽门螺旋杆菌感染与非酒精性脂肪性肝病的相关性研究[J].医学信息,2023,36(18):114-118.[doi:10.3969/j.issn.1006-1959.2023.18.021]
 YAN Jing-jing,HAN Yi.Correlation Analysis Between Helicobacter Pylori Infection and Nonalcoholic Fatty Liver Disease[J].Journal of Medical Information,2023,36(18):114-118.[doi:10.3969/j.issn.1006-1959.2023.18.021]
点击复制

幽门螺旋杆菌感染与非酒精性脂肪性肝病的相关性研究()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年18期
页码:
114-118
栏目:
论著
出版日期:
2023-09-15

文章信息/Info

Title:
Correlation Analysis Between Helicobacter Pylori Infection and Nonalcoholic Fatty Liver Disease
文章编号:
1006-1959(2023)18-0114-05
作者:
闫静静韩 怡
(安徽医科大学附属阜阳医院消化内科,安徽 阜阳 236001)
Author(s):
YAN Jing-jingHAN Yi
(Department of Gastroenterology,Fuyang Hospital Affiliated to Anhui Medical University,Fuyang 236001,Anhui,China)
关键词:
幽门螺旋杆菌非酒精性脂肪性肝病脂肪肝
Keywords:
Helicobacter pylori infectionNonalcoholic fatty liver diseaseFatty liver
分类号:
R575
DOI:
10.3969/j.issn.1006-1959.2023.18.021
文献标志码:
A
摘要:
目的 研究幽门螺旋杆菌(Hp)感染与非酒精性脂肪性肝病(NAFLD)的相关性。方法 选取2017年7月-2021年2月在安徽医科大学附属阜阳医院体检中心进行健康体检的2270例体检者,根据13C-尿素呼气试验检测结果确定Hp感染率情况,并根据有无脂肪肝将体检者分为NAFLD组和非NAFLD组,比较两组人口统计学特征、人体测量指标及血糖血脂、肝酶等指标,分析Hp感染与NAFLD的相关性。结果 2270例健康体检者Hp感染率为44.32%,不同性别、年龄的健康体检者Hp感染率比较,差异无统计学意义(P>0.05);2270例健康体检者NAFLD的患病率为33.08%,其中男性患病率高于女性(39.67% vs. 17.58%),差异有统计学意义(P<0.05);NAFLD组Hp感染率、体重、BMI、FPG、TG、LDL、TC、UR、HB、ALT、AST、ALP、GGT、SBP、DBP高于非NAFLD组,HDL低于非NAFLD组,差异有统计学意义(P<0.05);在调整潜在混杂因素后,Hp感染与NAFLD之间无相关性(OR=1.131,95%CI:0.843~1.516,P=0.412)。结论 在健康体检人群中,Hp感染与NAFLD的发生无相关性。
Abstract:
Objective To investigate the correlation between helicobacter pylori infection and nonalcoholic fatty liver disease.Methods A total of 2270 physical examinees were included in the physical examination center of Fuyang Hospital Affiliated to Anhui Medical University from July 2017 to February 2021. Hp infection rate was determined according to the results of 13C urea breath test, and the physical examinees were divided into NAFLD group and non-NAFLD group according to the presence or absence of fatty liver. The demographic characteristics, anthropometric indexes, blood glucose, blood lipid and liver enzymes were compared between the two groups, and the correlation between Hp infection and NAFLD was analyzed.Results Among 2270 physical examinees, Hp infection rate was 44.32%. There was no significant difference in Hp infection rate among physical examinees of different genders and ages (P>0.05). The prevalence of NAFLD in 2270 physical examinees was 33.08%. The prevalence of NAFLD in males was higher than that in females (39.67% vs 17.58%), and the difference was statistically significant (P<0.05). Hp infection rate, body weight, BMI, FPG, TG, LDL, TC, UR, HB, ALT, AST, ALP, GGT, SBP and DBP in NAFLD group were higher than those in non-NAFLD group, and HDL was lower than that in non-NAFLD group (P<0.05). After adjusting for potential confounding factors, there was no correlation between Hp infection and NAFLD (OR=1.131,95%CI:0.843-1.516,P=0.412).Conclusion The Hp infection is not associated with NAFLD in the health examination population.

参考文献/References:

[1]Gravina AG,Zagari RM,De Musis C,et al.Helicobacter pylori and extragastric diseases: A review[J].World J Gastroenterol,2018,24(29):3204-3221.[2]Kyburz A,Muller A.Helicobacter pylori and extragastric diseases[J].Curr Top Microbiol Immunol,2017,400:325-347.[3]Vilar-Gomez E,Yasells-Garcia A,Martinez-Perez Y,et al.Development and validation of a noninvasive prediction model for non-alcoholic steatohepatitis resolution after lifestyle intervention[J].Hepatology,2016,63(6):1875-1887.[4]Kang SJ,Kim HJ,Kim D,et al.Association between cag A negative Helicobacter pylori status and nonalcoholic fatty liver disease among adults in the United States[J].PLoS One,2018,13(8):e0202325.[5]唐君瑞,李明珂,曹光琼,等.非酒精性脂肪性肝病与幽门螺杆菌感染的相关性[J].疑难病杂志,2020,19(3):242-247.[6]杨文,王要军,张智高,等.幽门螺旋杆菌感染与非酒精性脂肪肝相关研究[J].中华保健医学杂志,2020,22(2):212-213.[7]Okushin K,Takahashi Y,Yamamichi N,et al.Helicobacter pylori infection is not associated with fatty liver disease including non-alcoholic fatty liver disease: a large-scale cross-sectional study in Japan[J].BMC Gastroenterology,2015,15(1):25.[8]谢川,吕农华.中国幽门螺杆菌感染的现状[J].疾病监测,2018,33(4):272-275.[9]邓琴,刘丽华,赵薇.健康体检者HP阳性率与糖脂代谢的相关性研究[J].湖北科技学院学报(医学版),2020,34(5):425-427.[10]方红丽,田衍,邓苙.昆明市中老年人幽门螺旋杆菌感染状况及其影响因素[J].昆明医科大学学报,2020,41(10):114-118.[11]Younossi ZM,Koenig AB,Abdelatif D,et al.Global epidemiology of nonalcoholic fatty liver disease-Meta‐analytic assessment of prevalence,incidence,and outcomes[J].Hepatology,2016,64(1):83-84.[12]Zhu JZ,Zhou QY,Wang YM,et al.Prevalence of fatty liver disease and the economy in China:a systematic review[J].World J Gastroenterol,2015,21(18):5695-5706.[13]Cindoruk M,Cirak MY,Unal S,et al.Identification of Helicobacter species by 16S rDNA PCR and sequence analysis in human liver samples from patients with various etiologies of benign liver diseases[J].Eur J Gastroenterol Hepatol,2008,20:33-36.[14]Yan P,Yu B,Li M,et al.Association between nonalcoholic fatty liver disease and Helicobacter pylori infection in Dali City,China[J].Saudi Med J,2021,42(7):735-741. [15]Han YM,Lee J,Choi JM,et al.The association between Helicobacter pylori with nonalcoholic fatty liver disease assessed by controlled attenuation parameter and other metabolic factors[J].PLoS One,2021,16(12):e0260994.[16]Polyzos SA,Kountouras J,Papatheodorou A,et al.Helicobacter pylori infection in patients with nonalcoholic fatty liver disease[J]. Metabolism Clinical & Experimental,2013,62(1):121-126.[17]Kim TJ,Sinn DH,Min YW,et al.A cohort study on Helicobacter pylori infection associated with nonalcoholic fatty liver disease[J].Journal of Gastroenterology,2017,52(11):1201-1210.[18]Okushin K,Takahashi Y,Yamamichi N,et al.Helicobacter pylori infection is not associated with fatty liver disease including non-alcoholic fatty liver disease: a large-scale cross-sectional study in Japan[J].Bmc Gastroenterology,2015,15(1):25.[19]Baeg MK,Yoon SK,Ko SH,et al.Helicobacter pylori infection is not associated with nonalcoholic fatty liver disease[J].World Journal of Gastroenterology,2016,22(8):2592-600.[20]Sumida Y,Kanemasa K,Imai S,et al.Helicobacter pylori infection might have a potential role in hepatocyte ballooning in nonalcoholic fatty liver disease[J].J Gastroenterol,2015,50:996-1004.

相似文献/References:

[1]邱梦君,郑国荣.大黄、黄连、黄芩联合三联序贯治疗Hp感染的疗效分析[J].医学信息,2018,31(06):137.[doi:10.3969/j.issn.1006-1959.2018.06.047]
 QIU Meng-jun,ZHENG Guo-rong.Curative Effect Analysis of Sequential Treatment of Hp Infection by Rhubarb,Coptis Chinensis and Radix Scutellariae[J].Journal of Medical Information,2018,31(18):137.[doi:10.3969/j.issn.1006-1959.2018.06.047]
[2]龙 颖,李运泽,汤中敏,等.非酒精性脂肪性肝病与血尿酸水平测定及其临床意义[J].医学信息,2018,31(07):92.[doi:10.3969/j.issn.1006-1959.2018.07.029]
 LONG Ying,LI Yun-ze,TANG Zhong-min,et al.Determination of Serum Uric Acid Level and its Clinical Significance in Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2018,31(18):92.[doi:10.3969/j.issn.1006-1959.2018.07.029]
[3]夏 铭,张正坤,曾海龙,等.四种疗法治疗幽门螺杆菌阳性消化性溃疡疗效分析[J].医学信息,2018,31(11):18.[doi:10.3969/j.issn.1006-1959.2018.11.006]
 XIA Ming,ZHANG Zheng-kun,ZENG Hai-long,et al.Therapeutic Effect of Four Kinds of Therapy on Helicobacter Pylori Positive Peptic Ulcer[J].Journal of Medical Information,2018,31(18):18.[doi:10.3969/j.issn.1006-1959.2018.11.006]
[4]崔姗姗,刘 英,江 霞.非酒精性脂肪性肝病与胰岛素抵抗的研究进展[J].医学信息,2022,35(10):66.[doi:10.3969/j.issn.1006-1959.2022.10.016]
 CUI Shan-shan,LIU Ying,JIANG Xia.Research Progress on Non-alcoholic Fatty Liver Disease and Insulin Resistance[J].Journal of Medical Information,2022,35(18):66.[doi:10.3969/j.issn.1006-1959.2022.10.016]
[5]冯贺强,张彩红.肠道菌群与非酒精性脂肪肝关系的研究进展[J].医学信息,2018,31(12):47.[doi:10.3969/j.issn.1006-1959.2018.12.015]
 FENG He-qiang,ZHANG Cai-hong.Research Progress on the Relationship between Intestinal Flora and Nonalcoholic Fatty Liver[J].Journal of Medical Information,2018,31(18):47.[doi:10.3969/j.issn.1006-1959.2018.12.015]
[6]郑 颖,孙华胜,毛乾国.中医防治非酒精性脂肪性肝病研究进展[J].医学信息,2018,31(15):25.[doi:10.3969/j.issn.1006-1959.2018.15.010]
 ZHENG Ying,SUN Hua-sheng,MAO Qian-guo.Progress in Prevention and Treatment of Nonalcoholic Fatty Liver Disease by TCM[J].Journal of Medical Information,2018,31(18):25.[doi:10.3969/j.issn.1006-1959.2018.15.010]
[7]侯拂晓.四联疗法治疗幽门螺旋杆菌相关性十二指肠球炎疗效分析[J].医学信息,2018,31(17):135.[doi:10.3969/j.issn.1006-1959.2018.17.042]
 HOU Fu-xiao.Therapeutic Effect of Quadruple Therapy on Helicobacter pylori Associated Duodenal Inflammation[J].Journal of Medical Information,2018,31(18):135.[doi:10.3969/j.issn.1006-1959.2018.17.042]
[8]李珊珊,陈少彬,龚先琼.中药单体治疗非酒精性脂肪性肝病研究进展[J].医学信息,2018,31(21):24.[doi:10.3969/j.issn.1006-1959.2018.21.008]
 LI Shan-shan,CHEN Shao-bin,GONG Xian-qiong.Advances in Research of Traditional Chinese Medicine Monomer in the Treatment of Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2018,31(18):24.[doi:10.3969/j.issn.1006-1959.2018.21.008]
[9]陈 鹏,吴 楠,葛俊君,等.地衣芽胞杆菌联合幽门螺旋杆菌补救疗法的临床观察[J].医学信息,2018,31(23):114.[doi:10.3969/j.issn.1006-1959.2018.23.031]
 CHEN Peng,WU Nan,GE Jun-jun,et al.Clinical Observation of Bacillus Licheniformis Combined with H.pylori Salvage Therapy[J].Journal of Medical Information,2018,31(18):114.[doi:10.3969/j.issn.1006-1959.2018.23.031]
[10]黄玲玉,孙 东,蒋本君,等.天津市某区域体检人群非酒精性脂肪肝调查分析[J].医学信息,2019,32(04):99.[doi:10.3969/j.issn.1006-1959.2019.04.032]
 HUANG Ling-yu,SUN Dong,JIANG Ben-jun,et al.Investigation and Analysis of Non-alcoholic Fatty Liver Disease in Medical Examination Population in A Certain Area of Tianjin[J].Journal of Medical Information,2019,32(18):99.[doi:10.3969/j.issn.1006-1959.2019.04.032]

更新日期/Last Update: 1900-01-01