临床荟萃

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幽门螺杆菌与胃食管反流病

  

  1. 河北医科大学第三医院 消化科,河北 石家庄 050051
  • 出版日期:2017-01-05 发布日期:2017-01-12
  • 通讯作者: 通信作者:刘改芳, Email: liugaifang65@126.com
  • 作者简介:刘改芳,河北医科大学第三医院消化内科主任,主任医师,教授,医学博士,硕士生导师。河北省医学会消化病学分会和消化内镜学分会副主任委员,河北省医师协会心身医学科医师分会候任主任委员,河北省医学会消化病学分会胰腺学组组长,河北省医学会消化病学分会幽门螺杆菌与消化性溃疡学组副组长。《中华胰腺病杂志》《世界华人消化杂志》和《临床荟萃》编委。

Helicobacter pylori infection and gastroesophageal reflux disease

  1. Department of Gastroenterology,the Third Hospital of Hebei Medical University,
    Shijiazhuang  050051, China
  • Online:2017-01-05 Published:2017-01-12
  • Contact: Corresponding author: Liu Gaifang, Email: liugaifang65@126.com

摘要: 幽门螺杆菌(H.pylori)在胃食管反流病(GERD)致病中的作用存在争议。流行病学研究发现H.pylori感染与GERD发病呈负相关;一些研究认为H.pylori感染与糜烂性食管炎的发生和严重程度存在相关性;排除患者GERD患病倾向因素,大多数研究结果提示H.pylori感染与GERD发病和严重程度无关,GERD患者如存在H.pylori感染,应在长期应用质子泵抑制剂(PPI)之前给予根除H.pylori治疗。

关键词: 胃食管反流, 食管炎, 糜烂性, 幽门螺杆菌, 质子泵抑制剂

Abstract: The role of Helicobacter pylori (H.pylori) in the pathogenesis of gastroesophageal reflux disease (GERD) is controversial. Epidemiological studies revealed a negative correlation between H.pylori infection and the incidence of GERD. Some studies suggested that H.pylori infection was associated with the incidence and severity of erosive esophagitis. Most of the studies showed no association between H.pylori infection and the incidence and severity of GERD  when the risk factors of GERD excluded. H.pylori infection should be treated in the patients with GERD before longterm use of proton pump inhibitor.

 

Key words: gastroesophageal reflux, esophagitis, erosive, helicobacter pylori, proton pump inhibitors