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纸质出版:2010
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蒲瑞雪,郭红,廖亚玲,邹全明,郭刚.幽门螺杆菌感染对胃内正常菌群结构的影响[J].陆军军医大学学报(原第三军医大学学报),2010,32(05):450-453.
Pu Ruixue,Guo Hong,Liao Yaling,Zou Quanming,Guo Gang.Correlation of normal flora in human stomach with Helicobacter pylori pathogenicity[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(05):450-453.
目的 比较分析不同人群胃内菌群的特点,探讨幽门螺杆菌(Helicobacter pylori
Hp)感染对胃内菌群结构的影响,探讨胃内菌群与Hp相关疾病的关系。 方法 分别采集Hp阴性者、Hp正常携带者和Hp感染患者的胃黏膜标本220例,采用多种选择性培养基分别在需氧、微需氧、厌氧情况下分离培养细菌,结合Hp感染情况,分析胃内主要菌群的结构组成及定植数量。 结果 220例胃镜受检者中,Hp阴性82例,Hp阳性138例,Hp检出率为62.73%;乳杆菌检出率在Hp阴性者(59.76%)和Hp感染患者(27.84%)比较,差异有统计学意义(P0.05)
其余细菌在3类人群中检出率差异无统计学意义(P0.05);细菌总量在Hp阴性者胃内的定植量显著高于Hp正常携带者和Hp感染患者(P0.05);Hp阴性者中的乳杆菌、肠杆菌、链球菌所占比例分别为41.39%、16.90%、18.28%,检出数量和所占比例明显均高于Hp感染患者(P0.05);厌氧菌在Hp感染患者的检出率最高,所占比例为43.77%,显著高于Hp阴性者(P0.05)。 结论 Hp感染严重影响胃内菌群变化,胃内菌群(特别是乳杆菌与厌氧菌)与Hp致病性密切相关。
Objective To evaluate the impact of Helicobacter pylori (Hp) infection on the subpopulation of normal flora in human stomach
and to further understand the contribution of gastric normal flora to Hp-related diseases. Methods Totally 220 specimens of gastric mucous were collected from the health individuals
Hp carriers and patients with Hp associated diseases. Colonized bacteria were cultivated on selective media in different conditions as needed
and the amount of bacteria was calculated according to the visible colony on plates. Results Hp detection results showed that 62.73% of the 220 investigated people were colonized with Hp. The total number of bacteria investigated in the stomach of the health individuals was significantly higher than that of the patients and the normal carriers (P0.05). Significant difference of the lactobacillus positive rates was only observed between the health individuals and the patients (P0.05). The percentage of Lactobacillus
Enterobacteriaceae and Streptococcus from the health individuals was 41.39%
16.90% and 18.28%
respectively
and any of them was higher that from the patient group (P0.05). The percentage of anaerobic bacteria in the patient group was 43.77%
which accounting for the highest proportion when compared with the other groups (P0.05). Conclusion The subpopulation of normal flora in the stomach is closely associated with Hp colonization and the clinical outcome.
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