成都地区体检人群幽门螺旋杆菌感染与骨转换标志物相关性分析
Correlation analysis between Helicobacter pylori infection and bone turnover markers in healthy individuals in Chengdu
  
DOI:10.3969/j.issn.1006.7108.2020.04.017
中文关键词:  幽门螺旋杆菌感染  骨转换标志物  骨质疏松症
英文关键词:Helicobacter pylori infection  bone turnover marker  osteoporosis
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麦涛1 刘琳2* 王加强1 苏杨1 1. 四川省医学科学院 四川省人民医院检验科四川 成都 610072 2. 西藏自治区人民政府驻成都办事处医院检验科, 四川 成都 610041 
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中文摘要:
      目的 分析成都地区体检人群幽门螺旋杆菌感染及其骨转换标志物检测结果,探讨幽门螺旋杆菌(HP)感染与骨质转换标志物之间的相关性。方法 研究对象包括成年健康体检者1484名,其中男性854名,年龄20~87岁;女性630名,年龄24~81岁。分成HP(–)男性组、HP(+)男性组、HP(–)女性组和HP(+)女性组。采用电化学发光法检测血清总I型胶原氨基端延?肽(TPINP)、β-胶原降解产物(β-CTx)和骨钙素(N-MID),胶体金法检测血清HP抗体。使用SPSS 19.0软件进行统计分析。结果 成都地区体检健康人群中HP感染率高达60%~61.5%,无性别差异(P>0.05)。骨形成标志物TPINP、N-MID,男性均小于女性,但方差分析结果表明为性别之间的差异不具有统计学意义(P>0.05)。骨吸收标志物β-CTX则表现为男性大于女性,差异具有统计学意义(P<0.05)。HP感染对男性或者女性的骨转换标志物不存在显著性影响(P>0.05)。结论 幽门螺旋杆菌感染与人群骨质疏松可能不存在相关性。但成都地区幽门螺旋杆菌感染率高,需关注其对人们健康的影响。
英文摘要:
      Objective Osteoporosis can lead to fragility fractures, which seriously affect the quality of life of patients. The cause of osteoporosis is complex and not fully understood. Some studies have suggested that osteoporosis may be related to Helicobacter pylori infection, but there are many controversies. Therefore, in this study, we analyzed the detection results of Helicobacter pylori infection and bone turnover markers in the physical examination population in Chengdu, and explored the correlation between Helicobacter pylori (HP) infection and bone turnover markers. Methods The study included 1484 healthy individuals, including 854 males, aged 20-87 years, and 630 females, aged 24-81 years, divided into HP (–) male group, HP (+) male group, HP (–) female group and HP (+) female group. The levels of serum total N-terminal procollagen I propeptides (TPINP), C-terminal telopeptides of type I collagen (β-CTx) and N end of osteocalcin (N-MID) were detected by electrochemiluminescence method, and serum HP antibody was detected by colloidal gold method. Statistical analysis was performed using SPSS 19.0 software. Results The HP infection rate in the physical examination population in Chengdu was as high as 60%-61.5%, and there was no gender difference (P>0.05). The bone formation markers TPINP and N-MID were lower in males than females, but the analysis of variance showed that the difference between genders was not statistically significant (P>0.05). The bone resorption marker β-CTX was higher in males than in females, and the difference was statistically significant (P<0.05). HP infection did not have a significant effect on bone turnover markers in men or women (P>0.05).Conclusion There may be no correlation between Helicobacter pylori infection and osteoporosis in the population. However, the infection rate of Helicobacter pylori in Chengdu is high, and it is necessary to pay attention to its impact on people's health.
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