胃功能4项检查对消化性溃疡病情及病程的评估价值

摘要

Objective To study the value of 4‐item examination of gastric function in the evaluation of disease severity and course of peptic ulcer .Methods The 4‐item examination of gastric function ,including PGⅠ ,PGⅡ ,PGⅠ /PGⅡ ,gastrin 17 and He‐licobacter pylori(Hp) positive rate ,were detected by adopting enzyme linked immunosorbent assay (ELISA) in 175 cases of peptic ulcer(study group) and 60 persons undergoing physical examination(control group) .The Spearman correlation coefficient was used to analyze the relationship between the 4‐item gastric function examination with the severity and course of peptic ulcer .Results The levels of PGⅠ ,PGⅡ ,gastrin 17 and Hp positive rate in the study group were significantly higher than those in the control group(P<0 .05) ,while PGⅠ /PGⅡwas significantly lower than that in the control group(P<0 .05) .The values of PG Ⅰ /PGⅡfrom high to low were in turn the scarring stage group ,healing stage group and active stage group ,other indexes from high to low were in turn active stage group ,healing stage group and scarring stage group .The levels of PGⅠ ,PGⅡand gastrin 17 and Hp posi‐tive rate in the patients with disease course ≥3 years were significantly higher than those in the patients with disease course<3 years(P<0 .05) .The severity and disease course in the patients with peptic ulcer were positively correlated with the levels of PGⅠ ,PGⅡ ,gastrin 17 and Hp positive rate(P<0 .05) and negatively correlated with PG Ⅰ /PGⅡ(P<0 .05) .Conclusion In the pa‐tients with peptic ulcer ,4‐item gastric function examination is closely correlated with the severity and course of illness ,which can serve as the index for evaluate the severity and course of disease ,thus increases the clinical treatment pertinence ,reduces the occur‐rence of antibacterial drugs abuse ,and is worthy of being promoted and applied in clinic .%目的：研究胃功能4项检查对消化性溃疡病情及病程的评估价值。方法采用酶联免疫吸附试验检测175例消化性溃疡患者（研究组）及60例健康体检者（对照组）胃功能4项，包括胃蛋白酶原（PG ）Ⅰ、PGⅡ、PGⅠ／PGⅡ、胃泌素17及幽门螺杆菌阳性率。采用Spearman相关系数分析胃功能4项检查与消化性溃疡病情及病程的相关性。结果研究组 PGⅠ、PGⅡ、胃泌素17水平及幽门螺杆菌阳性率显著高于对照组（ P＜0．05），PGⅠ／PGⅡ显著低于对照组（ P＜0．05）。PGⅠ／PGⅡ从高到低依次为疤痕期组、愈合期组、活动期组，其他指标从高到低依次为活动期组、愈合期组、疤痕期组。病程≥3年组患者 PGⅠ、PGⅡ、胃泌素17水平及幽门螺杆菌阳性率显著高于病程＜3年组（ P＜0．05），PGⅠ／PGⅡ显著低于病程＜3年组（ P＜0．05）。消化性溃疡患者疾病病情及病程与PGⅠ、PGⅡ、胃泌素17水平及幽门螺杆菌阳性率呈正相关（ P＜0．05），与PGⅠ／PGⅡ呈负相关（ P＜0．05）。结论消化性溃疡患者胃功能4项检查与病情、病程密切相关，可以作为评估患者病情严重程度及病程的指标，从而提高临床治疗的针对性，减少抗菌药物滥用情况的发生，值得临床推广应用。