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首页> 外文期刊>World Journal of Gastroenterology >Role of Helicobacter pylori in functional dyspepsia.
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Role of Helicobacter pylori in functional dyspepsia.

机译：幽门螺杆菌在功能性消化不良中的作用。

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摘要

The aetiology of dyspepsia is unknown in the majority of patients. Helicobacter pylori (H pylori) is the cause in a subset of patients. A non invasive test to assess the presence of H pylori is recommended in the management of patients under the age of 50 presenting to a family practitioner with dyspepsia. A urea breath test or a stool antigen test are the most reliable non invasive tests. Eradication of H pylori will reduce the risk to the patient with dyspepsia of developing a peptic ulcer, reduce the complication rate if prescribed non-steroid anti-inflammatory drugs and later reduce the risk of gastric cancer. The recommended treatment for non ulcer dyspepsia associated with a H pylori infection should be a 10-d course of treatment with a PPI and two antibiotics. Treatment efficacy should be assessed four weeks after completing treatment with a urea breath test or a stool antigen test.
机译：消化不良的病因在大多数患者中是未知的。幽门螺杆菌（H pylori）是部分患者的病因。对于有消化不良的家庭医生，建议对50岁以下的患者进行无创性检查以评估幽门螺杆菌的存在。尿素呼气测试或粪便抗原测试是最可靠的非侵入性测试。根除幽门螺杆菌将减少消化不良患者发生消化性溃疡的风险，如果开处方使用非类固醇抗炎药，则可降低并发症发生率，后来可降低胃癌的风险。对于与幽门螺杆菌感染相关的非溃疡性消化不良的推荐治疗方法应是用PPI和两种抗生素治疗10天。治疗结束后四周应通过尿素呼气试验或粪便抗原试验评估治疗效果。

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