Helicobacter pylori eradikasyon tedavisinin tam kan sayımı ve inflamatuvar parametrelere etkisi

Recep Alanli, Murat Bülent Küçükay
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Abstract

Background and aims: Previously Helicobacter pylori (H. Pylori) infection was held responsible for changes in complete blood count and inflammatory parameters. But changes in these parameters after eradication treatment was not entirely evaluated. This study was designed to evaluate the effect of eradication threatment for H. pylori infection on inflammatory markers and complete blood count parameters. Materials and method: This single center observational study enrolled participants who came to internal medicine outpatient clinics because of dyspeptic complaints and who were diagnosed to have H. pylori infection after endoscopic evaluation, between July 2021 and January 2022. Participants who were tested negative for H. pylori stool antigen test eight weeks after eradication treatment were included. Complete blood count and infammatory parameters before and after eradication treatment were compared. Results: Mean participant age was 43.84±12.59 years. There were significant decreases in C-reactive protein (CRP), platelet to lymphocyte ratio (PLR) and neutrophile to lymphocyte ratio (NLR) after eradication. Changes in platelet counts and mean platelet volumes (MPV) were insignificant. Conclusion: CRP, PLR and NLR were significantly lower after eradication for H. pylori. These parameters may be useful, simple, available and non-invasive tests that may be used in evaluation of eradication treatment for H. pylori.
背景和目的:以前幽门螺杆菌感染被认为是全血细胞计数和炎症参数变化的原因。但根除治疗后这些参数的变化并未得到全面评估。本研究旨在评估根除幽门螺杆菌感染威胁对炎症标志物和全血细胞计数参数的影响。材料和方法:本单中心观察性研究纳入了2021年7月至2022年1月期间因消化不良主病来到内科门诊就诊并经内镜检查诊断为幽门螺杆菌感染的参与者。根除治疗后8周幽门螺杆菌粪便抗原检测阴性的参与者被纳入研究。比较根除治疗前后全血细胞计数和炎症指标。结果:参与者平均年龄43.84±12.59岁。根治后c反应蛋白(CRP)、血小板与淋巴细胞比值(PLR)、中性粒细胞与淋巴细胞比值(NLR)均显著降低。血小板计数和平均血小板体积(MPV)变化不显著。结论:根除幽门螺杆菌后CRP、PLR、NLR明显降低。这些参数可能是有用的、简单的、可用的和非侵入性的测试,可用于评估根除幽门螺杆菌的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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