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在本院251例连续胃镜病例中,对非溃疡性消化不良(NUD)与幽门螺旋菌(HP)相关性慢性胃炎的关系进行了前瞻性研究。发现:(1)NUD的HP检出率与同期当地正常人群无显著性差异。(2)NUD之HP阳性与阴性组之临床症状计分无显著性差异;NUD典型组与非典型组间HP检出率无显著性差异。(3)HP感染及胃窦粘膜炎症程度与症状计分无显著相关性。(4)DeNol与安慰剂治疗比较,两组治疗后症状计分无显著差异。结果提示,NUD之临床症状与HP相关性慢性胃炎之间无明确关系。
A prospective study of the relationship between non-ulcer dyspepsia (NUD) and Helicobacter pylori-associated chronic gastritis was performed in 251 consecutive cases of gastroscopy in our hospital. It is found that: (1) There is no significant difference between the HP detection rate of NUD and the local normal population in the same period. (2) There was no significant difference in clinical symptom scores between NUD positive and negative groups; there was no significant difference in HP detection rate between NUD typical group and non-typical group. (3) There was no significant correlation between HP infection and degree of antral mucosal inflammation and symptom score. (4) DeNol compared with placebo, no significant difference in symptom scores between the two groups after treatment. The results suggest that there is no clear relationship between the clinical symptoms of NUD and HP-related chronic gastritis.