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体检人群幽门门螺杆菌感染相关因素分析

2020-07-09

概要:

摘要:目的  了解健康体检人群Hp感染特征及其相关因素,并初步探讨Hp感染的健康管理对策。方法  选择2007年12月~2009年6月来该院的3 208例健康体检人员作为调查对象。使用13C尿素呼气试验(13C-UBT)检测该人群Hp感染率,并调查分析Hp感染特征和影响因素。结果  该体检人群 Hp感染率调查结果是50.56%;Hp感染率女性显著高于男性;比较城区、郊区和农村3个不同地区的Hp感染率显示,农村的Hp感染率显著高于城区及郊区;对不同职业及文化程度的调查发现,从事体力劳动者的Hp感染率显著高于脑力劳动者,销售工作人员的Hp感染率更高;另外,分析Hp感染与胃病史及治疗情况的关系发现,有胃病无治疗组的Hp感染率高于无胃病组,而有胃病已治疗组的Hp感染率最低;多因素回归分析发现,对Hp感染有独立影响的因素是胃病史及喝茶。结论健康体检人群中 Hp感染较为常见,应引起足够重视。环境因素、社会因素和饮食习惯都对Hp感染产生显著影响,应对体检人群进行Hp感染的健康管理。

 

Abstract:[ Objective] To obtain the characteristics and related factors of Helicobacter pylori infection in health check group, and then do the brief investigation on the health management methods of the infection.[Methods] We chose 3 208 cases of health check group in our sanatorium from Dee 2007 to May 2009 as our research group, used 13C-UBT (°C urea breath test) to get the infection rate of Helicobacter pylori in this group and then do the research and analysis on the characteristics and factors of the infection. [ Results] The infection rate of this health check group is 50.56%; The rate is higher in women than in men; When we compare the infection rate of urban, suburban and rural group, we find that the rate in rural group is significantly higher than in urban and suburban group; The researches on different careers and literacy show that the infection rate of the manual worker group is significantly higher than that of the mental worker group, while the seller group is the highest. Also the analysis on the relationship between the gastric disease history, treatment and Helicobacter pylori infection shows that the infection rate of the group which has the gastric disease history without treatment is higher than the group without the gastric disease history, and the group which has the gastric disease history with treatment has the lowest rate; Finally, through the parameter estimates we find that the factors which affects the infection rate independently are the gastric disease history and drinking tea.[ Conclusions ] Helicobacter pylori infection is common in health check group, we should pay attention to the situation. Environmental factors, social factors and diet habits all have significant effects on the infection, we should do the health management of Helicobacter pylori infection on the health cheek group.

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