缺血性卒中复发与幽门螺杆菌感染的相关性

目的 探讨缺血性卒中复发与幽门螺杆菌（HP）感染的关系。方法 随机将77例首次卒中发作时HP阳性患者分为抗HP治疗组和对照组，观察其复发情况。同时观察139例首次卒中HP阴性患者复发时HP感染情况。结果 39例HP阳性患者经抗HP治疗后复发率为15．4％，38例HP阳性虱未抗感染治疗复发率为39．4％，139例首次卒中时HP阴性患者卒中复发率为24．5％（P＜0．05）；在33例首次卒中发作HP阴性者在复发时，其HP检测阳性者21例，阳性率为63．4％（P＜0．05）。结论 HP感染是缺血性卒中复发的独立危险因素，积极防治HP感染可以减少卒中发作。

Relativity between Ischemic Stroke Recurrence and Heliobacter Pylori Infection

Objective To explore the relationship between ischemic stroke recurrence(ISR) andheliobacter pylori (HP) infection. Methods 77 HP positive patients who suffered with stroke for the first time were randomly divided into HP treatment group (39 patients) and control group (38 patients), the recurrence of them were was observed . At the same time, HP infection of 139 HP negative patients who suffered with stroke for the first time was observed too. Results Recurrence rate of HP treatment group 15.4% while that of conrtol group 39. 4%, recurrence rate of the HP negative patients was 24. 5% (P <0. 05). 21 HP negative patients tested positive from the 139 and thus a rate of 63.4% (P <0. 05). Conclusion HP infection is an independent and dangerous factor leading to ischemic stroke, so active defending and treating can reduce stroke recurrence.