成功与延迟/失败的Helicobacter pylori根除治疗对后续骨折风险的影响:基于人口的队列研究
Jing Tong Tan1, Xianhua Mao1, Ching-Lung Cheung2,3
1Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Journal of gastroenterology and hepatology
|March 9, 2026
概括
成功根除Helicobacter pylori (HP) 不与骨折风险增加有关. 然而,延迟或失败的HP根除与骨折的风险更高有关,特别是在有胃病史的患者中.
科学领域:
- 胃肠病学 胃肠病学
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
背景情况:
- 调查Helicobacter pylori (HP) 感染结果与骨折风险之间的关系.
- 了解HP根除对骨健康的影响.
研究的目的:
- 为了确定Helicobacter pylori (HP) 根除状态和发生骨折的风险之间的关联.
- 为了比较HP阴性,成功根除HP和未成功根除HP的患者群体中的骨折风险.
主要方法:
- 这是一项回顾性队列研究,涉及香港超过322,000名患者 (2003-2012).
- 患者被分为HP阴性,成功根除HP和延迟/失败的HP根除组.
- 倾向性得分调整和多变量考克斯回归用于分析骨折风险 (HR).
主要成果:
- 在成功根除HP的患者中没有观察到骨折风险增加 (HR:1.02).
- 在HP根除延迟/失败的患者中发现明显更高的骨折风险 (HR: 1.37).
- 这种风险在延迟/失败的根除患者中特别高,这些患者有先前的胃病史 (HR: 2.21).
结论:
- 延迟或失败的HP根除,没有成功的根除,与骨折风险增加有关.
- 成功根除HP可能会对骨折产生保护作用.
- 患有胃病史和HP根除失败的患者面临的骨折风险最高.
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