首页|某医院健康体检人群幽门螺杆菌感染现况及其影响因素分析

某医院健康体检人群幽门螺杆菌感染现况及其影响因素分析

Analysis on infection status of Helicobacter pylori and its influencing factors among persons taking physical ex-amination at a hospital

扫码查看
目的 分析健康体检人群的幽门螺杆菌(Helicobacter pylori,Hp)感染现况及其影响因素,为Hp感染的临床防治提供参考依据.方法 采用简单随机抽样方法抽取清华大学医院内部分健康体检人群作为研究对象,使用尿素[13C]呼气试验检测其Hp感染情况,采用二元Logistic回归模型分析影响健康体检人群感染Hp的主要因素.结果 健康体检人群中感染Hp者有415例,Hp感染率为29.94%.二元Logistic回归分析结果显示,以Hcy正常为参照,Hcy异常的健康体检人群Hp感染风险更高,OR值为1.941(95%CI:1.154~3.262);以不吸烟为参照,吸烟的健康体检人群Hp感染风险更高,OR值为2.186(95%CI:1.463~3.267);以不饮酒为参照,饮酒的健康体检人群Hp感染风险更高,OR值为2.404(95%CI:1.213~4.764);以不经常在外面吃饭为参照,经常在外面吃饭的健康体检人群Hp感染风险更高,OR值为1.842(95%CI:1.188~2.858);以无Hp家族史为参照,有Hp家族史的健康体检人群Hp感染风险更高,OR值为1.650(95%CI:1.077~2.530);以Hp感染相关知识认知情况较好为参照,Hp感染相关知识认知情况较差的健康体检人群Hp感染风险更高,OR值为2.418(95%CI:1.155~5.063).结论 影响健康体检人群Hp感染的因素较多,其Hp感染相关知识认知方面也存在一定的不足,未来相关部门应采取针对性预防干预措施.
Objective To analyze the current infection status of Helicobacter pylori(Hp)and its influencing fac-tors among persons who took physical examination,and to provide reference for clinical prevention and treatment of Hp infec-tion.Methods A simple random sampling method was used to select part of persons who took physical examination in Tsing-hua University Hospital as the research objects.Urea[13 C]breath test was used to detect Hp infection.Binary logistic re-gression model was used to analyze the main factors associated with Hp infection.Results There were 415 cases of Hp infec-tion in the physical examination population,and the Hp infection rate was 29.94%.Binary logistic regression analysis results showed the risk of Hp infection in persons with abnormal Hcy was higher,and the OR value was 1.941(95%CI:1.154-3.262).Compared to persons without alcohol drinking as reference,the risk of Hp infection was higher in persons who drank alcohol,OR was 2.404(95%CI:1.213-4.764).Compared to persons who did not eat outside often as reference,the risk of Hp infection was higher in persons who often ate outside,OR was 1.842(95%CI:1.188-2.858).Compared to persons without Hp family history as reference,the risk of Hp infection was higher persons with family history of Hp,OR was 1.650(95%CI:1.077-2.530).Compared to persons who had better cognition of Hp infection as reference,the risk of Hp infection was higher in persons with poor cognition of Hp infection,OR was 2.418(95%CI:1.155-5.063).Conclusion There are many factors affecting Hp infection in healthy people,and there are also some deficiencies in the cognition related to Hp infection.In the future,relevant departments should take targeted prevention and intervention meas-ures.

Persons undergoing physical examinationHelicobacter pyloriInfluencing factor

张文江、郝静宇、赵云华

展开 >

清华大学医院内科,北京 100084

北京市昌平区中西医结合医院心内科,北京 102208

首都医科大学附属北京友谊医院急诊科,北京 100050

健康体检人群 幽门螺杆菌 影响因素

2024

中国健康教育
中国健康教育中心 中国健康促进与教育协会

中国健康教育

CSTPCD北大核心
影响因子:1.261
ISSN:1002-9982
年,卷(期):2024.40(9)