浙江桐乡地区健康体检人群2017年—2021年幽门螺旋杆菌流行病学调查与分析  

Epidemiological survey and analysis of Helicobacter pylori in health examination population in Tongxiang City,Zhejiang Province from 2017 to 2021

作　　者：吕献敏 吕火烊[2] 陈铮铮 王静燕 肖龙 余洪蕾 LV Xian-min;LV Huo-yang;CHEN Zheng-zheng;WANG Jing-yan;XIAO Long;YU Hong-lei(Department of Clinical Laboratory,Tongxiang First People's Hospital,Zhejiang 314500,China;不详)

机构地区：[1]桐乡市第一人民医院检验科,浙江314500 [2]浙江省人民医院检验中心 [3]桐乡市第一人民医院神经内科

出　　处：《中国卫生检验杂志》2023年第6期734-736,750,共4页Chinese Journal of Health Laboratory Technology

基　　金：浙江省卫生科技计划面上项目(2022KY1278);桐乡市科技计划项目(202202227)。

摘　　要：目的调查桐乡地区健康体检人群2017年—2021年幽门螺旋杆菌的感染率及分析其影响因素,为本地区幽门螺旋杆菌感染的防治提供应对性策略。方法回顾性分析2017年—2021年各年份健康体检人群幽门螺旋杆菌感染率及变化趋势;统计分析各年份幽门螺旋杆菌感染率年龄、性别的差异及其认知知晓率、治疗率和本院无痛胃镜占比、体检中心包含幽门螺旋杆菌体检套餐占比差异及变化趋势。结果2017年—2021年幽门螺旋杆菌的感染率成逐年下降趋势(χ_(趋势)^(2)=32.550,P<0.05);各年份幽门螺旋杆菌感染率性别差异均无统计学意义(P>0.05);各年份幽门螺旋杆菌感染率年龄差异均有统计学意义(P<0.05),均以中年组感染率最高;各年份幽门螺旋杆菌认知知晓率、治疗率、无痛胃镜占比和包含幽门螺旋杆菌检查的体检套餐占比逐年上升(P<0.05)。结论幽门螺旋杆菌防治应重点关注中老年人群和提高群众对幽门螺旋杆菌的认知知晓率,通过提高人群对14 C-尿素呼吸实验与无痛胃镜等幽门螺旋杆菌检查方法的认知,进而提高其检查率,及时发现感染并治疗。Objective This paper aims to investigate the prevalence of Helicobacter pylori(Hp)and analyze its influencing factors in the health examination population in Tongxiang City from 2017 to 2021,so as to provide a coping strategy for the prevention and control of Hp infection in this area.Methods The infection rate and change trend of Hp among healthy people in each year from 2017 to 2021 were retrospectively analyzed.Statistical analysis was carried out on the differences and changes in the infection rate among different ages and genders,awareness rate,treatment rate,the proportion of painless gastroscopy,the proportion of Hp test in physical examination center.Results The infection rate of Hp from 2017 to 2021 was in an annually decreasing trend(χ_(trend)^(2)=32.550,P<0.05).There was no statistical significance on the difference in the prevalence of Hp infection between males and females in each year(P>0.05).The differences in Hp infection rates were statistically significant in all years(P<0.05),with the highest infection rates in the middle-aged group in all cases.The awareness rate,treatment rate,proportion of painless gastroscopy and proportion of medical examination packages including Hp test showed an annual increase(P<0.05).Conclusion The prevention and treatment of Hp should focus on middle-aged and elderly people and improving its awareness.By improving people's awareness of the examination methods such as 14C-urea breathing test and painless gastroscopy,the examination rate can be improved and infection can be detected and treated in time.

关 键 词：幽门螺旋杆菌 感染 影响因素 防治 

分 类 号：R378.2[医药卫生—病原生物学]