省立医院消化性溃疡患者ABO血型与幽门螺杆菌感染关系的横断面研究

M. Mahaseth, Gaurang Mishra, Sanjeet Jha, M. Pandey, G. Yadav, Gautam Sah
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摘要

目的:研究消化性溃疡患者幽门螺杆菌感染(H. pylori)、ABO血型和恒河猴血型(Rh)之间的潜在关系。材料和方法:这项横断面研究于2021年2月至2021年5月在贾纳克普尔省医院内窥镜科就诊的消化不良患者中完成。通过玻片血凝试验检测患者的血型表型和恒河猴依赖性。所有患者均行食管胃十二指肠镜检查(EGD)以确定消化性溃疡。胃活检并通过脲酶试验评估幽门螺杆菌。结果:本研究共纳入103例患者,其中男性49例,女性54例,平均年龄15 ~ 77岁。幽门螺杆菌阳性75例(72.8%),阴性28例(27.2%),A、B、AB、O型血分别占19.4%、33.0%、13.6%、34.0%。与A型血(20.1%)和AB型血(13.3%)相比,O型血(33.3%)和B型血(33.3%)的幽门螺杆菌患病率相对较高。而ABO血型与幽门螺杆菌患病率的相关性不显著(p=0.991)。结论:B血型人群更易发生幽门螺杆菌感染。我们的研究表明,幽门螺杆菌污染绝对是一个地方性问题,需要通过加强卫生、供应过滤水和其他消除措施来处理。血型与不同年龄组幽门螺杆菌感染之间的关系有待进一步细致的研究。
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Relation between ABO blood group and Helicobacter pylori infection among patients with peptic ulcer disease at Provincial Hospital: A cross sectional study
INTRODUCTION: To document the potential relationship between Helicobacter pylori infection (H. pylori), ABO and Rhesus (Rh) blood groups in affected individuals with peptic ulcer disorder. MATERIALS AND METHODS: This cross-sectional, research was accomplished from February 2021 to May 2021 among individuals experiencing dyspeptic conditions visiting Endoscopy Unit of Janakpur Provincial Hospital. All the patients were investigated for their blood group phenotype and Rhesus dependent through slide hemagglutination test. Also all the patients went through esophagogastroduodenoscopy (EGD) in order to identify peptic ulcer disease. Gastric biopsies were acquired and evaluated for H. pylori through urease test. RESULTS: A total of 103 patients were registered in this study, which included 49 males and 54 females with a mean age of 15-77 years. H. pylori was found positive in 75(72.8%) cases and negative in 28 (27.2%) cases, Blood group A, B, AB and O were found in 19.4%, 33.0%, 13.6%, and 34.0% of the patients respectively. Relatively higher prevalence of H. pylori was found in each blood groups O (33.3%) and B (33.3%) compared to blood group A (20.1%) and AB (13.3%). However, association of ABO blood group and prevalence of H. pylori was found to be insignificant (p=0.991). CONCLUSIONS: The study concluded that B blood group people were more prone to H. pylori infection. Our study revealed that H. pylori contamination was definitely an endemic issue, which needs to be handled by enhancing hygiene, supply of filtered water and in addition other measures for its elimination. Further meticulous studies are needed to establish relationship between blood type and H. pylori contamination in different age groups.
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