武汉市公务员幽门螺杆菌感染及其相关因素调查分析  

Related factors for Helicobacter pylori infection in civil servants of Wuhan

作　　者：程志玲[1] 程甜甜[1] 

机构地区：[1]湖北省新华医院体检中心,湖北武汉430015

出　　处：《中华医院感染学杂志》2012年第14期3068-3070,共3页Chinese Journal of Nosocomiology

摘　　要：目的调查武汉地区公务员的幽门螺杆菌(Hp)感染情况,对其相关因素进行评价,并探讨防治幽门螺杆菌感染的对策。方法选择2012年湖北省新华医院体检中心健康体检的武汉地区公务员2975人作为调查对象,使用14 C呼吸试验检测该人群Hp感染率,其检查值>100为阳性,<100为阴性,并调查分析Hp感染特征和影响因素。结果武汉地区公务员Hp感染率平均为42.38%,46～59岁组女性最高,为46.05%;>75岁老年组男性最低,为38.38%;31～45岁组偏高,>75岁组偏低;46～59岁组、60～74岁组接近平均水平,各年龄组感染率差异有统计学意义,而年龄、性别组间差异均无统计学意义;家庭及个人生活习惯与Hp感染有显著相关性,其中生食蔬菜、水果未洗等是Hp感染的危险因素;分析Hp感染与胃病史及治疗的关系发现,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,差异有统计学意义。结论武汉地区公务员的Hp感染率明显低于我国平均的Hp感染率,Hp感染率与性别、年龄无相关性,生活和饮食习惯及胃病史为影响其感染的主要因素;健康体检人群中Hp感染较为常见,应引起足够重视,对体检人群进行Hp感染的健康管理至关重要。OBJECTIVE To investigate the situation of the Helicobacter pylori infections in civil servants and evaluate the related factors,and to explore the countermeasures for prevention and treatment of H.pylori infection.METHODS A total of 2975 civil servants who enrolled Xinhua Hospital of Hubei for healthy physical examination in 2012 were chosen as the research objects.The rate of Hp infection was detected by 14C breath test,the test value 100 was positive,the value 100 the negative,and the Hp infection characteristics and influencing factors were taken for investigation.RESULTS Hp infection rate of the civil servants in Wuhan was with an average of 42.38 percent,the highest rate was in the women of middle age group of 46.05%,the lowest was in 75 years of age or older group of men of 38.38%;as compared between the groups,the patients aged 31-45 was relatively high,the patients aged more than 75 years was relatively low;the patients aged 46-59 years and the patients aged 60-74 years approached to the average level,the differences between the various age groups were statistically significant,but the differences in the age and gender between the groups were not statistically significant;the family and personal life habits were significantly correlated with Hp infection,among which eating fruits and vegetables without cleaning and raw food was the risk factor for Hp infection;in addition,the analysis of the correlation between Hp infection and stomach diseases history and treatment showed that the incidence of Hp infection in the patients with stomach disease history was higher than that of the patients without stomach disease history,and the incidence of Hp infection in the patients,with the stomach disease having been treated,was the lowest,the difference was statistically significant.CONCLUSION The incidence of Hp infection in the civil servants of Wuhan is significantly lower than the median incidence in China,which is not related to the gender and age;the life and diet habit as well as the stomach disease history is

关 键 词：幽门螺杆菌感染 相关因素 武汉市 公务员 

分 类 号：R181.32[医药卫生—流行病学]