滇黔桂交界地区幽门螺杆菌感染现状分析  

Investigation of the status quos of helicobacter pylori infection in people of the area bordering Yunnan,Guizhou and Guangxi

作　　者：曹聪[1] 周喜汉[1] 胡高裕 覃小珊[1] 李广志[2] 黄赞松[1] 

机构地区：[1]广西右江民族医学院附属医院消化内科,广西省百色市533000 [2]广西右江民族医学院附属医院重症医学科,广西省百色市533000

出　　处：《实用医学杂志》2017年第11期1864-1867,共4页The Journal of Practical Medicine

基　　金：广西教育厅重点课题项目(编号:201202ZD078);广西自然科学基金(编号:2012GXNSFAA053172)

摘　　要：目的:调查滇黔桂交界区域人群中幽门螺杆菌的感染情况,为幽门螺杆菌相关疾病的防治提供依据。方法:选择2012年1月至2015年12月在右江民族医学院附属医院进行单位健康的体检人员29 547人,其中公务员6 644人,医务人员1 484人,工人5 839人,教师5542人,学生10 038人,按照分层抽样的原则,系统随机抽取3 363人,其中公务员756人,医务人员215人,工人689人,教师654人,学生1 049人;民族分布:壮族1 515人,汉族897人,苗族234人,瑶族282人,仡佬族147人,布依族134人,其他民族154人,年龄7~65岁不等,用ELISA试剂法检测幽门螺杆菌感染情况,并分析幽门螺杆菌感染与民族、性别、年龄、职业及居住地的相关性。结果:本地区幽门螺杆菌的总阳性率为47.2%,人群分布情况,不同民族间,壮族阳性率最高为52.7%,仡佬族阳性率最低为31.3%;女性的感染率为41.5%,男性为53.3%;不同年龄层间,50~59岁年龄组的感染率最高为55.3%,18岁以下组人群感染率最低为19.6%;不同职业之间,公务员阳性率最高为57.9%;学生阳性率最低为35.9%;地区分布情况,百色市感染率最高为51.4%,黔西南州感染率最低为33.9%。不同民族、性别、年龄、职业、地域之间组间比较差异均具统计学意义(P<0.05)。结论:滇黔桂交界区域人群幽门螺杆菌感染与民族、性别、年龄、职业及居住地存在相关。Objective To investigate the status quos of helicobacter pylori infection in people of the area bordering Yunnan, Guizhou and Guangxi so as to provide the basis for the prevention of diseases caused by helicobacter pylori infection. Methods There were 29 547 people including 6 644 civil servants, 1 484 medical staff, 5 839 factory workers, 5 542 teachers, 10 038 students, who took physical examination from January, 2012 to Decem- ber, 2015 in the Affiliated Hospital of Youjiang Medical University for Nationalities. According to the principle of stratified sampling, 3 363 people were selected at random from the above groups. Among them there were 756 civil servants, 215 medical staff, 689 factory workers, 654 teachers, 1 049 students. And there were 1515 Zhuang people, 897 Han people, 234 Miao people, 282 Yao people , 147 Gelao , 134 Buyi, 154 people from other ethnics. Their ages ranged from 7 to 65. ELISA reagent method was adopted to detect helicobacter pylori infection. The relationship between ethnicity, gender, age, occupation, region and infection rate was analyzed. Results The total positive rate of helicobacter pylori was 47.2% in this region. As for different ethnic groups, the positive rate of Zhuang people was as high as 52.7%, and that of Kelao people was the lowest , only 31.3%. Women＇s infection rate was 41.5%, while that of the male was 52.4%. In terms of different age groups, people aged from 50 to 59 got an infection rate as high as 55.3%, while the age group under 18 had the lowest rate, only 19.6%. In the aspect of different professions, civil servants had the highest positive rate 57.9%. Students had the lowest rate 35.9%. Regional distribution analysis showed that Baise had the highest infection rate （51.4%） , while Qian xi nan had the lowest rate of 33.9%. There was statistical difference in helieobacter pylori infection between different ethnic groups, genders, ages, occupations and regions （P 〈 0.05）. Conclusion The infection of helicobacter pylori in people of the area borderi

关 键 词：幽门螺杆菌 感染 民族 

分 类 号：R57[医药卫生—消化系统]