三亚市自然人群幽门螺杆菌感染情况分析
Analysis of Helicobacter pylori infection in the natural population of Sanya City
黄士美 1兰连果 1张大涯 1陈润祥 1张晓冬 1陈晨 1曾凡 1李达 1黄显凤 1汪琦 1陈世锔 1高蕾 2曾俊涛 2白飞虎3
作者信息
- 1. 571199 海南医学院研究生院
- 2. 572000 三亚中心医院消化内科
- 3. 570216 海南医学院第二附属医院消化内科;570216 海南省消化疾病临床研究中心
- 折叠
摘要
目的 探讨三亚市自然人群幽门螺杆菌(H.pylori)感染现状,分析其影响因素,为防控H.pylori感染提供参考依据.方法 采用整体分层随机抽样的方法选取三亚市四个区共677名居民,进行尿素14C呼气试验和问卷调查,计算自然人群H.pylori阳性率,并分析H.pylori感染的影响因素.结果 共纳入606名居民,H.pylori阳性检出者为261例,阳性检出率为38.5％.其中不同民族、婚姻状况、吸烟、进食蔬菜瓜果和文化程度与H.pylori感染相关(P＜0.05);性别、年龄、BMI、饮酒、饮用水来源、咀嚼槟榔及同住人口数量与H.pylori感染无明显相关(P＞0.05).家人感染是三亚市自然人群H.pylori感染的独立危险因素,黎族、经常食用瓜果蔬菜、大专及以上文化水平是三亚市自然人群H.pylori感染的独立保护因素.结论 三亚市自然人群H.pylori感染率低于全国平均水平,多食用瓜果蔬菜、提高卫生防护意识有利于预防H.pylori感染;推广家庭和相关成员同检同治,避免家庭内部聚集性感染.
Abstract
Objective To explore the current status of H.pylori infection in the natural population of Sanya City,analyze its influencing factors,and provide a reference basis for the prevention and control of H.pylori infection.Methods A total of 677 residents from four districts of Sanya City were selected by overall stratified random sampling method,and were subjected to urea 14C breath test and questionnaire survey to calculate the positive rate of H.pylori in the natural population and analyze the influencing factors of H.pylori infection.Results A total of 606 residents were included,and the number of H.pylori positive detections was 261,with a positive detection rate of 38.5％.Among them,different ethnicity,marital status,smoking,eating vegetables and fruits,and literacy level were associated with H.pylori infection(P＜0.05);gender,age,BMI,alcohol consumption,drinking water source,betel quid chewing,and the number of cohabitants were not significantly associated with H.pylori infection(P＞0.05).Family infection was an independent risk factor for H.pylori infection in the natural population of Sanya City,and Li ethnicity,frequent consumption of fruits and vegetables,and college and higher education level were independent protective factors for H.pylori infection in the natural population of Sanya City.Conclusion The rate of H.pylori infection in the natural population of Sanya City is lower than the national average.Consuming more fruits and vegetables and improving the awareness of hygiene protection are conducive to the prevention of H.pylori infection;and the promotion of the family and related members with the same examination and treatment is important to avoid aggregation of infection within the family.
关键词
幽门螺杆菌/14C尿素呼气试验/感染率/影响因素/三亚市Key words
H.pylori/14C urea breath test/Infection rate/Influencing factors/Sanya引用本文复制引用
基金项目
海南省临床医学中心建设项目(2021818)
海南省院士创新平台科研项目(YSPTZX202313)
海南省卫生健康行业科研项目(22A200078)
海南省研究生创新科研项目(Qhyb2022-133)
海南医学院研究生创新科研课题(HYYB2022A18)
出版年
2024
NETL
NSTL
维普
万方数据