【摘要】 目的 观察治疗幽门螺杆菌(Helicobacter pylori,Hp)对慢性胃炎伴缺铁性贫血(iron deficiency anemia,IDA)患者的疗效。方法 对31例有长期IDA病史、病因检查只发现有Hp阳性慢性胃炎的患者，进行根除Hp治疗；同时检测患者的血红蛋白(hemoglobin,Hb)、平均红细胞体积(mean corpuscular volume,MCV)；行快速尿素酶试验、内镜下组织病理检查了解Hp感染情况。结果 根除Hp治疗6个月、12个月结束时，74.2%(23/31)和90.3%(28/31)患者的贫血已得到纠正。结论 根除Hp治疗可治愈以Hp阳性慢性胃炎作为唯一病因的缺铁性贫血患者的贫血。

    【关键词】 幽门螺杆菌；贫血，缺铁性；胃炎；慢性

    Study on effect of anti-Helicobacter pylori on iron deficiency anemia in patients with chronic gastritis

    HE Jian-ping,QIAN Zhao-xi.

    The Sixth People's Hospital of Changde,Hunan 415101,China

    【Abstract】 Objective To investigate the effect of anti-Helicobacter pylori (Hp) on iron deficiency anemia in patients with chronic gastritis.Methods Eradication therapy was used on thirty-one patients with a long history of iron deficiency anemia in which Hp-positive gastritis was the only pathologic finding detected.Hemoglobin,mean corpuscular volume,were measured, and gastroscopy with biopsy was conducted to evaluate Hp status.Results At 6 months after the eradication 74.2% of patients (28/31) had recovered from anemia.After 12 months, 90.3% of patients (28/31) had recovered from anemia.Conclusion Eradication of Hp infection can cure iron deficiency anemia in patients with Hp-positive gastritis. ......