莫辰, 李倩(综述), 张建中(审校). 特发性血小板减少性紫癜与幽门螺杆菌感染关系研究进展[J]. 疾病监测, 2009, 24(7): 545-547. DOI: 10.3784/j.issn.1003-9961.2009.07.024
引用本文: 莫辰, 李倩(综述), 张建中(审校). 特发性血小板减少性紫癜与幽门螺杆菌感染关系研究进展[J]. 疾病监测, 2009, 24(7): 545-547. DOI: 10.3784/j.issn.1003-9961.2009.07.024
MO Chen, LI Qian, ZHANG Jian-zhong. Progress in study of association between idiopathic thrombo-cytopenic purpura and <I>Helicobacter pylori</I> infection[J]. Disease Surveillance, 2009, 24(7): 545-547. DOI: 10.3784/j.issn.1003-9961.2009.07.024
Citation: MO Chen, LI Qian, ZHANG Jian-zhong. Progress in study of association between idiopathic thrombo-cytopenic purpura and <I>Helicobacter pylori</I> infection[J]. Disease Surveillance, 2009, 24(7): 545-547. DOI: 10.3784/j.issn.1003-9961.2009.07.024

特发性血小板减少性紫癜与幽门螺杆菌感染关系研究进展

Progress in study of association between idiopathic thrombo-cytopenic purpura and <I>Helicobacter pylori</I> infection

  • 摘要: 特发性血小板减少性紫癜(idiopathic thrombo-cytopenic purpura, ITP)是一种原因不明、因血小板破坏过多伴巨核细胞成熟障碍引起的获得性出血性疾病,发病与血小板特异性自身抗体相关,由于发病机制尚未明确,临床治疗针对性差、效果欠佳。已发现细菌感染是影响ITP发病的重要因素之一,近年来报道幽门螺杆菌(IHelicobacter pylori,/IHP) 感染与部分ITP发病有关,根除HP对HP阳性ITP患者改善临床症状及血象恢复、激素治疗都具有显著效果,但也出现二者无明显相关的报道。两者的关联机制尚不明确。

     

    Abstract: Idiopathic thrombo-cytopenic purpura (ITP) is one of acquired autoimmune diseases with unknown cause and decrease of platelet counts, its development depends on the generating of special autoantibodies. Because pathogenic mechanism of ITP is unclear, the effect of treatment is not perfect. It has been found that bacterial infection is an essential stimulating factor to ITP. IHelicobacter pylori/I (IH.pylori/I) infection was reported to be associated with the occurrence of some ITP cases. Eradication of IH.pylori/I could provide remarkable influence to the restoration of hemogram and hormone treatment effect of IH.pylori/I positive ITP patients, but it has been also reported that there was no obvious association between IH.pylori/I infection and ITP.

     

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