在体检人群中,Helicobacter pylori感染和动脉样硬化之间的相关性及其影响因素
Lei Han1, Ruijuan Gu2, Hatira Jingsihan1
1Center of Health Management, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China.
Journal of infection in developing countries
|February 20, 2025
概括
杆菌 (HP) 感染,特别是高风险菌株,在接受体检的人群中与动脉样硬化 (AS) 的增加有关. 高风险的HP感染是心动脉斑块形成的重要危险因素.
科学领域:
- 心血管医学 心血管医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- Carotid 动脉样硬化 (AS) 是中风的主要危险因素.
- 杆菌 (HP) 感染很普遍,并与各种系统性疾病有关.
- 肝炎感染和AS之间的关联需要在一般人群中进一步调查.
研究的目的:
- 为了确定Helicobacter pylori (HP) 感染对心血管动脉样硬化 (AS) 的影响.
- 在体检队列中,评估HP感染是心动脉斑块 (CP) 形成的风险因素.
主要方法:
- 纳入了一组体检患者的队列.
- 参与者接受了13C-尿素呼吸测试 (13C-UBT) 以检测HP和声带超声波以评估AS.
- 多变量逻辑回归分析了CP形成的风险因素.
主要成果:
- 与非感染个体相比,HP感染个体的BMI,LDL-C和尿酸水平较高.
- 高危HP感染与年龄,BMI,高血压,胆固醇和尿酸的显著差异有关.
- 年龄,吸烟,静脉血压和糖化血红蛋白是感染者和非感染者之间的CP风险因素.
结论:
- 杆菌感染,特别是高风险的HP,在体检人群中加速 carotid AS.
- 高风险的HP感染被确定为心动脉斑块发展的危险因素.
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