2型糖尿病与幽门螺杆菌关系的研究

Alireza Mohammadzadeh, Seyed Hossein Abtahi Eivary, Nasim Khajavian, Jafar Hajavi
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摘要

导读:幽门螺杆菌感染是世界上公认的健康问题之一,糖尿病患者同时感染幽门螺杆菌造成了世界范围内的健康和经济问题。本研究旨在调查伊朗戈纳巴德市2型糖尿病患者中幽门螺杆菌的患病率。 方法:本病例对照研究在伊朗戈纳巴德市进行。参与研究的人数为168人。方法是简单的随机抽样,研究人群是2型糖尿病和非糖尿病患者,他们被转介到Gonabad健康中心。在征得患者知情同意后,采集2型糖尿病患者和对照组静脉血4毫升,分别采用ELISA法和比色法检测幽门螺杆菌IgG抗体和空腹血糖及糖化血红蛋白(HbA1C)。将数据输入SPSS 16版软件后,采用独立检验、卡方检验和logistic回归检验进行分析。 结果:在本研究中,71.4%的2型糖尿病患者有针对幽门螺杆菌的IgG抗体。IgG阳性患者患糖尿病的比值比为IgG阴性患者的1.37倍,差异有统计学意义(P=0.003)。 结论:本研究显示,糖尿病患者幽门螺杆菌感染率高于非糖尿病患者,糖尿病患者的糖尿病病程、糖尿病家族史、吸烟史与幽门螺杆菌感染无统计学意义。
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Investigating the Relationship between Type 2 Diabetes and Helicobacter Pylori
Introduction: Helicobacter pylori infection is known as one of the health problems in the world, and the concurrent infection of diabetics with Helicobacter pylori contributes to health and economic problems in the world. The present study was conducted to investigate the prevalence of Helicobacter pylori in patients with type 2 diabetes in Gonabad City, Iran. Methods: This case-control study was conducted in Gonabad City, Iran. The number of participants in the study was 168. The method was simple random sampling and the study population was typing 2 diabetic and non-diabetic people who were referred to Gonabad health centers. After obtaining informed consent from the patients, 4 milliliters of venous blood were collected from the patients with type 2 diabetes and the control group, and IgG antibodies against Helicobacter pylori and Fasting Blood Sugar and Glycosylated Hemoglobin (HbA1C) were measured by ELISA and Colorimetric method, respectively. After entering the data into SPSS version 16 software, they were analyzed using independent tests, chi-square tests, and logistic regression tests. Results: In the present study, 71.4% of type 2 diabetes patients had IgG antibodies against H. pylori bacteria. The odds ratio of diabetes in the patients with positive IgG was 1.37 times that of patients with negative IgG, and this relationship was statistically significant (P=0.003). Conclusion: The present study showed that H. pylori was more common in diabetic patients than non-diabetic ones, and in diabetic patients, there was no statistically significant relationship between the duration of diabetes, family history of diabetes, and smoking history with Helicobacter pylori infection.
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