不同组肾病患儿幽门螺杆菌患病率

M. Affifi, M. Sharaf
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引用次数: 0

摘要

胃炎和消化性溃疡在肾病综合征(NS)患儿中很常见。这是因为免疫抑制药物,如类固醇,伴蛋白尿和随后的低血球血症。研究目的:研究不同组NS患儿幽门螺杆菌感染的患病率。研究对象和方法:本研究是在艾因沙姆斯大学儿科肾脏病诊所进行的横断面病例对照研究。研究于2019年7月至2020年11月进行。研究对象包括86名不同类型的儿童和36名年龄和性别匹配的健康儿童作为对照组。所有nss患儿进行粪便寄生虫和具有肾功能的幽门螺杆菌抗原分析。根据对类固醇的反应将nss患儿分为三组。幽门螺杆菌感染在肾病患儿中较对照组多见,差异有统计学意义(p<0.05)。幽门螺杆菌感染除与NS感染时间相关外,与呕吐、寄生虫感染等胃肠道症状相关均有统计学意义。结论:粪便抗原检测是检测幽门螺杆菌感染的可靠方法。幽门螺杆菌感染在NS患儿中很常见,并与胃肠道疾病和寄生虫感染有关
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Prevalence of Helicobacter Pylori among different groups of Nephrotic children
Affifi M and Sharaf M-Ain Shams University Introduction : Gastritis and peptic ulcer are common in children with nephrotic syndrome (NS). This is because of immunospressive medications like steroids with proteinuria and subsequent hypoga mmeglobulinemia Aim of the work: Is to study the prevalence of H.pylori infection among different groups of children suffering from NS Subject and methods: This study was cross sectional-case controlled study conducted at pediatric nephrology clinic – Ain Shams University It was done between July 2019 till November 2020. It included 86 children with different types of N.S and 36 healthy age and sex matched children as control group. All N.S children had stool analysis for parasites and H.pylori antigen with renel functions. N.S children were divided into three groups according to the response to steroids Results :H.pylori infection is common in children with nephrotic than controls with a statistical signification difference (p<0.05) H.pylori infection is statistically signification correlated with GI symptoms as vomity,and infection with parasites besides duration of NS infection Conclusion: Stool antigen test is reliable test for detection of H.pylori infection .H.pylori infection is common in children with NS and related to GI complaints and parasitic infestations
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