杭州地区体检人群幽门螺杆菌感染的调查  

Prevalence of Helicobacter pylori infections among physical examination population in Hangzhou area

作　　者：李华[1] 张忠夫[1] 鲁任[1] 蒋燕[1] 李瑶[1] 

机构地区：[1]解放军第117医院健康管理中心,浙江杭州310013

出　　处：《中华医院感染学杂志》2016年第9期2036-2037,2040,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅科研基金资助项目(2013KYB232);解放军第117医院基金资助项目(2012YG003)

摘　　要：目的探讨杭州地区体检人群幽门螺杆菌（Hp）感染现状,为Hp防治提供参考依据。方法回顾性分析2012年1月-2015年1月医院9 856名体检人群相关资料,调查分析Hp感染的特征及分布。结果 9 856名体检者共检出Hp阳性3 988例,感染率40.46%,感染患者中男性2 794例,占70.06%,明显高于女性,差异有统计学意义（P〈0.01）;不同年龄层Hp感染分布率中,50~59岁1 684例,感染率为44.66%,60~69岁337例,感染率为47.13%,高于其他年龄层,对比差异有统计学意义（P〈0.05）;高血压、糖尿病、高脂血症、胆石症、消化系统疾病、吸烟、饮酒对Hp感染率无影响。结论杭州地区体检人群幽门螺杆菌感染男性感染率较高,年龄大患者感染率较高,以50岁以上为主要感染人群。OBJECTIVE To investigate the prevalence of Helicobacter pylori infections among physical examination population in Hangzhou area so as to provide guidance for prevention and treatment of H.pylori infections.METHODS The clinical data of 9 856 people who underwent the physical examination in the hospital from Jan 2012 to Jan 2015 were retrospectively analyzed,then the characteristics and distribution of H.pylori infections were investigated.RESULTS Of the 9 856 people undergoing the physical examination,3 988 were detected positive for H.pylori,with the infection rate 40.46%.The male patients with the infections accounted for 70.06%（2 794cases）,significantly higher than that of the female patients with the infections（P〈0.01）.The incidence rate of H.pylori infection was 44.66%（1 684cases）in the patients aged between 50 and 59years old and 47.13%（337cases）in the patients aged between 60 and 69years old,as compared with other age groups of patients,there was significant difference（P〈0.05）.The incidence rate of H.pyloriinfection could not be influenced by the hypertension,diabetic mellitus, hyperlipemia, cholelithiasis, digestive system disease, smoking, or drinking.CONCLUSIONThe incidence rate of H.pylori infection is relatively high in the male population undergoing the physical examination in Hangzhou area;the prevalence rate of the infection is relatively high in the elderly patients,and the patients aged more than 50 years old are dominant.

关 键 词：杭州地区 幽门螺杆菌 流行病学 

分 类 号：R378[医药卫生—病原生物学]