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目的 了解功能性消化不良 (FD)各亚型比例 ,探讨其与幽门螺杆菌 (HP)等因素的关系。方法 对 186例 FD患者以问卷形式询问病史 ,按症状给予分型 ,用尿素酶试验、涂片染色检测 HP。结果 各亚型的比例及 HP阳性率分别为 :反流型 11.2 9%、14 .2 9% ;溃疡型 13.98%、46 .15 % ;运动障碍型 48.39%、41.11% ;复合型 2 6 .34%、38.78% ,FD的 HP总阳性率为 38.17%。结论 FD中以运动障碍亚型最为多见 ,部分亚型之间有重叠 ,FD与 HP感染无关 ,反流型中的 HP阳性率较低。提示 HP可能有食管保护作用。
Objective To understand the proportion of functional subtypes of dyspepsia (FD) and to explore its relationship with Helicobacter pylori (HP) and other factors. Methods A total of 186 cases of FD patients were asked about the medical history by questionnaire. The patients were classified according to their symptoms. Urease test and smear staining were used to detect HP. Results The proportion of each subtype and the positive rate of HP were: reflux type 11.2 9%, 14.29%; ulcer type 13.98%, 46.15%; dyskinesia type 48.39%, 41.11%; 34%, 38.78%. The total positive rate of HP in the FD was 38.17%. Conclusion FD is the most common type of dyskinesia, with overlap between some subtypes. FD has no correlation with HP infection, and the positive rate of HP in reflux is low. Tip HP may have esophageal protective effect.