某地常住居民幽门螺杆菌感染情况调查及危险因素分析  

Investigation of Helicobacter pylori infection and analysis of risk factors in permanent residents in a certain area

作　　者：徐雪梅 刘军[1] 韩腊梅 陆丹妮 贺婷 XU Xuemei;LIU Jun;HAN Lamei;LU Danni;HE Ting(Department of Gastroenterology,Ganzi Tibetan Autonomous Prefecture People′s Hospital,Ganzi,Sichuan 626000,China)

机构地区：[1]四川省甘孜藏族自治州人民医院消化内科,四川甘孜626000

出　　处：《公共卫生与预防医学》2025年第2期78-81,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的分析某地常住居民幽门螺杆菌(Helicobacter pylori,Hp)感染情况调查及危险因素。方法回顾性分析2021年1月至2023年12月调查的6792例常住居民临床资料,受试者均进行13 C-尿素呼气试验并进行一般资料收集,分析Hp感染情况,并根据是否发生Hp感染分为阳性组(n=4283)及阴性组(n=2509),分析两组患者一般资料、生活习惯、饮食习惯差异,再进行多元logistic回归分析。结果2021年1月至2023年12月调查的6792例常住居民中,13 C-尿素呼气试验发现阳性4283例,占总数63.05%;阳性组与阴性组患者之间的年龄分布、性别、BMI、餐具清洁情况、个人卫生用品使用情况、公筷使用情况、生食、菜蔬清洁情况比较,差异有统计学意义(P<0.05);Hp感染的单因素代入多因素logistic回归分析方程中发现,年龄≥45岁、男性、BMI≥24、不使用洗洁精清洁餐具、共用个人卫生用品、不使用公筷、有生食习惯、菜蔬食用前不清洁是影响Hp感染的独立危险因素。结论该地区Hp感染阳性率较高,其感染因素与年龄、性别及部分生活、饮食习惯有关。Objective To analyze the status and risk factors of Helicobacter pylori(Hp)infection in permanent residents in a certain area.Methods The clinical data of 6792 permanent residents surveyed from January 2021 to December 2023 were retrospectively analyzed.All subjects underwent 13 C-urea breath test,and relevant general information was collected to analyze Hp infection status.According to whether Hp infection occurred,they were divided into positive group(n=4283)and negative group(n=2509).The differences in general information,living habits,and dietary habits between the two groups of subjects were analyzed,and multivariate logistic regression analysis was conducted.Results Among the 6792 permanent residents surveyed from January 2021 to December 2023,4283 were positive for 13 C-urea breath test,accounting for 63.05%of the total.There were statistically significant differences in age distribution,gender,BMI,tableware cleaning,personal hygiene products use,chopsticks use,and raw food and vegetable cleaning between the positive group and the negative group(P<0.05).The single factors of Hp infection were substituted into multivariate logistic regression analysis equation,and it was found that age≥45 years old,male,BMI≥24,no use of detergents to clean utensils,sharing personal hygiene products,not using public chopsticks,having a habit of eating raw food,and not cleaning vegetables before eating were independent risk factors for Hp infection.Conclusion The positive rate of Hp infection in this area is relatively high,and the infection factors are related to age,gender,and some lifestyle and dietary habits.

关 键 词：幽门螺杆菌 感染 流行病学 

分 类 号：R181[医药卫生—流行病学]