中国居民家庭幽门螺杆菌感染的防控和管理专家共识(2021年)  

Chinese Consensus on Family-based Helicobacter pylori Infection Control and Management

作　　者：国家消化系疾病临床医学研究中心(上海) 国家消化道早癌防治中心联盟 中华医学会消化病学分会幽门螺杆菌和消化性溃疡学组 全国幽门螺杆菌研究协作组 丁松泽 杜奕奇 陆红[7] 王蔚虹[8] 李兆申 杨云生[3] 吕农华[4] 周丽雅[5] National Clinical Research Center for Digestive Diseases (Shanghai);Gastrointestinal Early Cancer Prevention & Treatment Alliance of China;Helicobacter pylori and Peptic Ulcer Group,Chinese Society of Gastroenterology,Chinese Medical Association;Chinese Association of Helicobacter pylori Study;LI Zhaoshen;YANG Yunsheng;LV Nonghua;ZHOU Liya;DING Songze(不详;Department of Gastroenterology,the First Affiliated Hospital of Naval Medical University,Shanghai 200433;Department of Gastroenterology,General Hospital of PLA,Beijing 100048;Department of Gastroenterology,the First Affiliated Hospital of Nanchang University,Nanchang 330006;Department of Gastroenterology,Peking University Third Hospital,Beijing 100191;Department of Gastro-enterology,People’s Hospital of Zhengzhou University,Zhengzhou 450003)

机构地区：[1]不详 [2]海军军医大学第一附属医院消化内科,200433 [3]解放军总医院消化内科,100048 [4]南昌大学第一附属医院消化内科,330006 [5]北京大学第三医院消化内科,100191 [6]郑州大学人民医院消化内科,450003 [7]上海交通大学医学院附属仁济医院消化内科 [8]北京大学第一医院消化内科

出　　处：《胃肠病学》2022年第12期734-746,共13页Chinese Journal of Gastroenterology

摘　　要：有关幽门螺杆菌(Hp)感染和相关疾病的防治,国内外已有多部共识发布。2017年以来,我国先后制定了《第五次全国幽门螺杆菌感染处理共识报告》、《中国慢性胃炎共识意见(2017年,上海)》、《全国中西医整合治疗幽门螺杆菌相关“病-证”共识》、《中国幽门螺杆菌根除与胃癌防控的专家共识意见(2019年,上海)》等共识意见,在国内Hp感染和相关疾病的诊治、难治性Hp感染的处理和胃癌的防控中发挥重要作用。随着临床实践和认识的深入,家庭Hp感染问题逐渐引起关注,其危害不容忽视,有必要制定新的管理策略以指导防控。本共识在上述共识意见的基础上,提出“以家庭为单位防控Hp感染”的理念,进一步为我国居民家庭Hp感染和相关疾病的防控提供建议,以便于指导临床医师、社区和家庭医生对家庭Hp感染进行诊治和管理,从而对我国防控Hp感染、预防胃癌发生、改善居民健康状况起积极作用。Helicobacter pylori(Hp)infection emerges as a major health threat for Chinese families and society,due mostly to the high infection rate and healthcare cost that attributed to Hp-related gastrointestinal and extra-gastrointestinal diseases.It is also a heavy economic and health care burden for the country.Since 2017,four major consensus reports for Hp infection control and related disease prevention have been published in China.These consensus suggestions provide general guideline for the management of Hp infection and are critical for Hp-related disease prevention and control.However,no corresponding guidelines and treatment strategies have been designated for management of Hp infection among family members to block its intra-familial transmission and development of related diseases.Hp infection is largely a family-based disease,with the advance of clinical practice and public awareness,the detrimental effects of family-based Hp infection has been increasingly recognized,which requires attention from physicians and public health administrative officials.On the basis of the above,this consensus has brought out the novel notion of“whole family-based Hp infection control and management”to curb Hp intra-familial transmission.The consensus suggestions will be instrumental to prevent Hp spreading among family members,and subsequently reduce gastric cancer incidence and medical expenditures.It will also be helpful to optimize household living style and improve public awareness and health for Chinese residents and society.

关 键 词：幽门螺杆菌 家庭感染 胃肠疾病 胃肿瘤 

分 类 号：R573.1[医药卫生—消化系统]