肥胖学龄前儿童幽门螺杆菌感染的影响因素分析  

Analysis of influencing factors of Helicobacter pylori infection in obese preschool children

作　　者：宋鹏[1] 白青山[1] Song Peng;Bai Qingshan(Department of Pediatric Digestive,Tangshan Maternal and Child Health Hospital,Tangshan 063000,China)

机构地区：[1]唐山市妇幼保健院小儿消化科,唐山063000

出　　处：《中国医师杂志》2023年第7期1012-1015,共4页Journal of Chinese Physician

基　　金：河北省2020年度医学科学研究课题计划(20201487)。

摘　　要：目的探究并分析肥胖学龄前儿童幽门螺杆菌(HP)感染的影响因素。方法前瞻性选取2020年5月至2022年5月唐山市妇幼保健院收治的合并HP感染的肥胖学龄前儿童50例,未合并HP感染的肥胖学龄前儿童50例。收集并统计两组儿童的基础资料,包括性别、年龄、用餐习惯及家庭相关资料等。采用单因素分析筛选肥胖学龄前儿童HP感染的可能影响因素,并对筛选出的影响因素进行logistic回归分析。结果单因素方差分析显示,不同年龄、BMI及共用餐具、家庭人均月收入、使用公筷、餐前洗手、偏食、习惯咬手指、家庭人口数、暴饮暴食、家人HP感染史等情况的肥胖学龄前儿童,其HP感染率比较差异有统计学意义(均P<0.05)。多因素logistic分析显示,BMI(OR=1.576,95%CI:1.119~2.221)、共用餐具(OR=1.317,95%CI:1.018~1.702)、家庭人均月收入(OR=1.330,95%CI:1.021~1.733)、未使用公筷(OR=1.408,95%CI:1.019~1.945)、未餐前洗手(OR=1.206,95%CI:1.041~1.397)、习惯咬手指(OR=1.470,95%CI:1.064~2.031)、暴饮暴食(OR=1.443,95%CI:1.004~2.074)、家人有HP感染史(OR=1.317,95%CI:1.051~1.649)是肥胖学龄前儿童HP感染的影响因素(均P<0.05)。结论BMI、共用餐具、家庭人均月收入、未使用公筷、未餐前洗手、习惯咬手指、暴饮暴食、家人有HP感染史等是肥胖学龄前儿童HP感染的影响因素,若有相关因素异常的儿童,需引起重视,若有相关感染症状,可及时采取针对性干预措施,以防治儿童HP感染。Objective To explore and analyze the influencing factors of Helicobacter pylori(HP)infection in obese preschool children.Methods From May 2020 to May 2022,50 obese preschool children with HP infection and 50 obese preschool children without HP infection were prospectively selected from Tangshan Maternal and Child Health Hospital.We collected and collected basic data on two groups of children,including gender,age,eating habits,and family related information.Single factor analysis was used to screen for possible influencing factors of HP infection in obese preschool children,and logistic regression analysis was performed on the selected influencing factors.Results Single factor analysis of variance showed that there were statistically significant differences in the prevalence of HP infection among obese preschool children of different ages,body mass index(BMI),sharing tableware,per capita monthly income of families,using public chopsticks,washing hands before meals,partial eating,habit of biting fingers,family population,binge eating,family history of HP infection,etc.(all P<0.05).Multivariate logistic analysis showed that BMI(OR=1.576,95%CI:1.119-2.221),shared tableware(OR=1.317,95%CI:1.018-1.702),per capita monthly income of households(OR=1.330,95%CI:1.021-1.733),no use of public chopsticks(OR=1.408,95%CI:1.019-1.945),washing hands before meals(OR=1.206,95%CI:1.041-1.397),habit of biting fingers(OR=1.470,95%CI:1.064-2.031),binge eating(OR=1.443,95%CI:1.004-2.074)and family history of HP infection(OR=1.317,95%CI:1.051-1.649)were the influencing factors of HP infection in obese preschool children(all P<0.05).Conclusions BMI,shared tableware,per capita monthly income of families,failure to use public chopsticks,washing hands before meals,habit of biting fingers,binge eating,family history of HP infection,etc.are the influencing factors of HP infection in obese preschool children.If there are children with abnormal related factors,attention should be paid to them.If there are related infection symptoms,targeted inter

关 键 词：儿童 学龄前 肥胖症 幽门螺杆菌 

分 类 号：R723.14[医药卫生—儿科] R725.7[医药卫生—临床医学]