幽门螺杆菌感染与缺铁性贫血的临床分析.pdfVIP

· · 150 幽门螺杆菌感染与缺铁性贫血的临床分析 李彩丽1△ 左学兰1 [摘要] 目的：观察缺铁性贫血(IDA)伴幽门螺杆菌(Hp)阳性慢性胃炎患者抗Hp加铁剂治疗前后实验室 检测指标的变化及疗效，探讨Hp感染与IDA形成的相关性及其临床意义。方法：将62例IDA伴Hp阳性慢性 胃炎患者，分为A、B、C、D4组。A组给予补铁及Hp根除治疗，B组仅Hp根除治疗，C组仅补铁治疗，D组中医 辨证治疗胃炎；检测治疗前后其血红蛋白浓度及血清铁、总铁结合力、铁蛋白水平，并对Hp、胃蛋白酶活性、胃酸 Hp治疗效果显著(Po．05)。结论：Hp感染可造成或加重机体铁营养不良，在治疗IDA的过程中应注意清除 Hp感染。 [关键词]缺铁性贫血；幽门螺杆菌；慢性胃炎 [中图分类号]R556[文献标志码]A [文章编号]1004—2806(2006)03—0150—03 on betweenhelicobacterinfection Studyrelationship pylori andiron anemia deficiency LI CailiZU-0Xuelan of ofWuhan (DepartmentHematology，ZhongnanHospital na) Abstract with chronic were eradicationandiron givenHp sup— 0bjective：IDApatientsHp-positivegastritis the beforeandaftertreatmentandtheeffectivenessofthetreat— evaluatedlaboratoryindexes plementtherapy．To the62 ment．To theclinical andcorrelationbetweeninfectionof andIDA．Method：Divided explore significance Hp IDA with chronic intofour Awastreated e— patientsHp—positivegastritis groups(A、B、C、D)．GroupbyusingHp radicationin withoraliron Bwas eradication conjunction supplement．GroupgivenHp therapyonly． therapy Cwas iron Dwastreated Chineseherbalonchronic Group onlygivensupplementtherapy．Group byusing gastri— tis．Tomeasuredwith iron(SI)、totaliron ferritin(SF)、 hemoglobin(Hb)、serumbindingcapa