首页|体检人群幽门螺杆菌感染的危险因素及其与血清PGⅠ、PGⅡ、G-17的相关性

体检人群幽门螺杆菌感染的危险因素及其与血清PGⅠ、PGⅡ、G-17的相关性

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目的 探讨体检人群幽门螺杆菌(Hp)感染的危险因素及其与血清胃蛋白酶原Ⅰ(PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)、胃泌素-17(G-17)的相关性.方法 选择 2020 年 1 月至 2022 年 1 月在山西省大同市第五人民医院体检中心行Hp筛查的816例体检者为研究对象.根据Hp感染情况分观察组(Hp感染,310例)和对照组(Hp未感染,506例).统计Hp感染情况及影响因素,比较两组血清PGⅠ、PGⅡ、G-17 水平,并分析Hp感染者与血清PGⅠ、PGⅡ、G-17 的相关性.结果 816 例受检者中男 426 例,女 390 例.男性阳性感染率高于女性,差异有统计学意义(P<0.05).不同年龄、文化程度体检者Hp感染率比较,差异无统计学意义(P>0.05).不同饮酒、经常喝生水、经常在外就餐、经常吃辛辣食物、胃病诊疗史、Hp家族传染史体检人群Hp感染阳性率比较,差异有统计学意义(P<0.05).多因素logistic回归分析显示,饮酒、经常喝生水、经常在外就餐、经常吃辛辣食物、胃病诊疗史、有Hp家族传染史是体检者发生Hp感染的危险因素(P<0.05).观察组血清PGⅠ、PGⅡ、G17水平高于对照组,差异有统计学意义(P<0.05).体检人群Hp感染与血清PGI、PGⅡ、G-17 水平呈正相关(r>0,P<0.05).结论 体检人群Hp感染与多种因素有关,尤其血清PGⅠ、PGⅡ、G-17水平异常与Hp感染有关,具有较高的临床价值.
Risk factors of Helicobacter pylori infection and its correlation with serum PGⅠ,PGⅡ,and G-17
Objective To investigate the risk factors of Helicobacter pylori(Hp)infection and its correlation with serum pepsinogenⅠ(PG-Ⅰ),pepsinogenⅡ(PG-Ⅱ)and gastrin-17(G-17).Methods A total of 816 patients who underwent Hp screening in the physical examination center of the Fifth People's Hospital of Datong City,Shanxi Province from January 2020 to January 2022 were selected as the study objects.They were divided into observation group(310 Hp infection cases)and control group(506 Hp uninfected cases)according to HP infection.Hp infection and its influencing factors were analyzed,serum PGⅠ,PGⅡ,and G-17 levels were compared the two groups,and the correlation between Hp infected persons and serum PGⅠ,PGⅡ,and G-17 was analyzed.Results Among the 816 subjects,426 were males and 390 were females.The positive infection rate of male was higher than that of female,and the difference was statistically significant(P<0.05).There were no significant differences in Hp infection rate among different age and education level(P>0.05).There were significant differences in the positive rate of Hp infection among different groups who drank alcohol,often drank raw water,often ate out,often ate spicy food,diagnosis and treatment history of stomach disease,and family history of Hp infection(P<0.05).Multivariate logistic analysis showed that drinking alcohol,often drinking raw water,often eating out,often eating spicy food,diagnosis and treatment history of stomach disease,and family history of Hp infection were the risk factors for Hp infection in the physical examination subjects(P<0.05).The levels of serum PGⅠ,PGⅡ,and G17 in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Hp infection was positively correlated with serum PGⅠ,PⅡ,and G-17 levels(r>0,P<0.05).Conclusion Hp infection in physical examination population is related to many factors,especially abnormal serum PGⅠ,PGⅡ,and G-17 levels are related to Hp infection,which has high clinical value.

Physical examination populationHelicobacter pylori infectionRisk factorsPepsinⅡPepsinⅠGastrinRelativity

武红梅、赵晓丽

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山西省大同市第五人民医院体检中心,山西大同 037000

体检人群 幽门螺杆菌感染 危险因素 胃蛋白酶原Ⅱ 胃蛋白酶原Ⅰ 胃泌素 相关性

山西省大同市平台基地项目

2020192

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(8)
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