体检人群^(14)C阳性诊治情况跟踪及影响因素分析  

Tracking and influencing factors analysis of^(14)C positive diagnosis and treatment in the physical examination population

作　　者：汤峥丽[1] 王芳[1] 王唯坚[1] Tang Zhengli;Wang Fang;Wang Weijian(Physical Examination Center,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院体检中心,201203

出　　处：《中华消化病与影像杂志(电子版)》2025年第1期65-68,共4页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的统计体检人群^(14)C阳性诊治情况并分析其影响因素。方法采用单中心回顾性队列研究方法,收集2021年1月1日至2022年12月31日在上海中医药大学附属曙光医院体检的人群资料,统计^(14)C阳性人群数量,并对^(14)C阳性人群诊治情况进行跟踪随访,采用单因素分析和多因素logistic回归分析诊治情况的影响因素进行探究。结果共纳入体检者27356人,其中^(14)C阳性9658人(35.25%),^(14)C阳性人群中接受诊治6583例(68.16%),5134人接受四联方案治疗。单因素分析显示,年龄、教育程度、居住地、婚姻情况、收入情况、吸烟史、幽门螺杆菌(Hp)感染家族史、消化系统症状、职业与是否诊治有关(P<0.05)。多因素logistic回归分析结果提示,居住地在农村、年收入<10万元、职业为体力劳动是体检人群^(14)C阳性诊治的独立危险因素,有Hp感染家族史和存在消化系统症状是体检人群^(14)C阳性诊治的独立保护因素(P<0.05),年龄、教育程度、婚姻情况、吸烟史不是体检人群^(14)C阳性诊治的独立危险因素(P>0.05)。结论本地区体检^(14)C阳性人群中接受诊治比例为68.16%,居住地在农村、年收入<10万元、职业为体力劳动是^(14)C阳性人群接受诊治危险因素,有Hp感染家族史和存在消化系统症状是保护因素。Objective To analyze the diagnosis and treatment of^(14)C positive in the population undergoing physical examination and its influencing factors.Methods Using single center retrospective cohort study method,data of population undergoing physical examination in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 1,2021 to December 31,2022 were collected,the number of^(14)C positive individuals was counted,and the diagnosis and treatment of^(14)C positive individuals were followed up.The influencing factors of diagnosis and treatment were explored by univariate analysis and multivariate logistic regression analysis.Results A total of 27356 people were included in this physical examination,of which 9658(35.25%)were^(14)C positive.Among the^(14)C positive population,6583(68.16%)received diagnosis and treatment,and 5134 received treatment with the quadruple regimen.Univariate analysis showed that age,education level,residence,marriage,income,smoking history,family history of Helicobacter pylori(Hp)infection,digestive system symptoms,and occupation were related to diagnosis and treatment(P<0.05).Multivariate logistic regression analysis showed that living in rural areas,annual income less than 100000 yuan,and occupation of manual labor were independent risk factors for^(14)C positive diagnosis and treatment,while family history of Hp infection and digestive system symptoms were independent protective factors for^(14)C positive diagnosis and treatment(P<0.05).Age,education level,marital status,and smoking history were not independent risk factors for^(14)C positive diagnosis and treatment in the physical examination population(P>0.05).Conclusion The proportion of^(14)C positive people receiving diagnosis and treatment in physical examination is 68.16%.Living in rural areas,annual income less than 100000 yuan,and occupation of manual labor are independent risk factors for^(14)C positive people to receive diagnosis and treatment,while family history of Hp infection and digestiv

关 键 词：^(14)C呼气试验 幽门螺杆菌 体检 诊治 影响因素 

分 类 号：S85[农业科学—兽医学]