江西九江地区健康人群体检幽门螺杆菌检测结果分析

目的 通过调查九江地区体检人群幽门螺杆菌(H.pylori)感染状况,分析相关的影响因素,并提出相应的预防宣教措施.方法 选取2016年1月至2017年3月九江市第一人民医院体检中心进行尿素13 C]呼气试验6165例体检人群,其中男4572例,女1593例,对检测资料进行统计学分析.结果 6165例体检者中,阳性2325例,阳性率37.71%,其中男性阳性率36.94%(1689例),女性阳性率39.92%(636例),男女间比较差异无统计学意义(P>0.05).40~49岁年龄组的H.pylori感染率最高,达41.00%.有喜食零食、常在外就餐,以及烟酒嗜好者H.pylori阳性率明显高于无此嗜好者(P<0.01).患有糖尿病、冠心病人群H.pylori阳性率与未患糖尿病、冠心病人群比较差异有统计学意义(P<0.01).结论 九江地区体检人群H.pylori感染率与年龄、烟酒嗜好、慢性疾病(冠心病、糖尿病)密切相关,应该加强对重点人群的健康宣教,改变不良生活习惯,为指导临床H.pylori感染患者的治疗与预防提供了流行病学依据.

The test results and analysis of Helicobacter pylori infection in the physical examination population in Jian-gxi Jiujiang area

Objective To investigate and analyze the status of Helicobacter pylori (H.pylori) infection in the physical examina-tion population in Jiujiang area, to analyze the related factors, and put forward the corresponding preventive measures. Methods A total of 6165 cases of urea 13 C] breath test were collected from January 2016 to March 2017 in our hospital physical examination cen-ter, including male and female, with a total of 1593 people. The data were statistically analyzed. Results In 6165 cases of physical examination, there were positive in 2325 cases ( male, 1689 cases;female, 636 cases) , the positive rate was 37. 71%, of which the positive rate of the male positive rate was 36. 94%, the female was 39. 92%, and there was no significant difference in gender ( P>0. 05). The infection rate of H.pylori in the physical examination population was related to the age distribution of the population. The infection rate of 40-49 years old was 41. 00%, which was higher than that in other age groups. H.pylori in the population who had habits such as eating snacks, alcohol and tobacco addiction were significantly higher than those without the bad habits( P<0. 01) . The positive rate of H.pylori in People with diabetes and coronary heart disease was statistically significant compared with those without diabetes and coronary heart disease (P<0. 01). Conclusion In Jiujiang area, H.pylori infection rate was closely related to age, drinking habits, chronic diseases ( coronary heart disease, diabetes mellitus) . These population should be strengthened with health education, changing bad habits to provide epidemiological evidence for guiding clinical treatment and prevention H.pylori infection.