幽门螺杆菌感染与白塞氏病关系的荟萃分析

Relationship between Helicobacter pylori infection and Behcet's disease:a meta-analysis

  • 摘要: 目的 探讨幽门螺杆菌感染与白塞氏病之间的关系,明确幽门螺杆菌感染是否为白塞氏病的危险因素。方法 使用计算机检索Pubmed数据库、Embase数据库、Cochrane图书馆系统等, 纳入关于幽门螺杆菌感染与白塞氏病的病例对照研究,运用Revman5.2软件对文献实验数据进行荟萃分析,用固定效应模型或随机效应模型计算比值比(OR)及95%可信区间(95%CI),同时进行敏感性分析、亚组分析和荟萃回归分析、评估异质性来源,Begg's Test 和Egger's Test评价发表偏倚。结果 1999-2014年发表的七篇病例对照研究被最终纳入,包括1 155例患者,总幽门螺杆菌感染率为44.16%,白塞氏病组的幽门螺杆菌感染率高于对照组(56.72%和35.35%,OR=1.36,95%CI:1.01~1.84,P=0.04)。<目的 白塞氏病患者的幽门螺杆菌感染率高于健康人群。

     

    Abstract: OBJECTIVE To discuss the association between Helicobacter pylori(Hp) infection and Behcet's disease,and to identify whether Hp is a risk factor for Behcet's disease. METHODS A systematic literature search of PubMed, EMBASE and Cochrane library was conducted, which were included into the research of HP and Behcet's disease. Revman 5.2 was used for the Meta-analysis for empirical data from literature. A fixed or random effects model were used for calculating the odds ratio (OR) and a 95% credibility interval (95%CI), at the same time sensitivity analysis, subgroup analysis and Meta-regression analysis were taken to evaluate the sources of heterogeneity.Begg's Test and Egger's Test were used to evaluate publication bias. RESULTS Seven case-control studies published between 1999 to 2014 were finally identified, involving 1155 patients, with a total Hp infection rate of 44.16%. The prevalence of Hp infection was greater in Behcet's disease patients than in controls (56.72% vs 35.35%, OR=1.36, 95%CI: 1.01-1.84, P=0.04). CONCLUSION The pooled data suggest a trend of more frequent Hp infections in patients with Behcet's disease than healthy people.

     

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