| 杨依麦,郑恩典.应用13C尿素呼气试验检测温州市职工幽门螺杆菌感染情况[J].浙江中西医结合杂志,2015,25(8): |
| 应用13C尿素呼气试验检测温州市职工幽门螺杆菌感染情况 |
| Application 13C-urea breath test in screening Helicobacter pylori infection in Wenzhou staff |
| 投稿时间：2015-03-18 修订日期：2015-03-18 |
| DOI： |
| 中文关键词: 幽门螺杆菌 健康体检 13C尿素呼气试验 感染率 |
| 英文关键词:Helicobacter pylori,Health examination, 13C-Urea breath test,Infection rate |
| 基金项目: |
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| 中文摘要: |
| 摘要 目的 调查了解温州市机关事业单位职工的幽门螺杆菌（Hp）感染状况和影响因素，为Hp感染防控和感染人群的健康管理提供参考。方法 采用调查表收集2013年10月-2014年4月来温州市体检中心做健康体检的机关事业单位职工的相关资料和病史，用13C尿素呼气试验检测其Hp现症感染情况，并进行统计分析。结果 15817例健康体检者中男性9615例，女性6202例，年龄20～93岁（47.08岁±14.50），总Hp感染率为54.38%。Hp感染人群中，现症Hp女性感染率(56.80%)高于男性（52.81%），两者比较有统计学意义（X2=24.205，P＜0.01）；不同年龄组Hp感染率不同，随年龄增长呈先上升后下降的趋势，差异有统计学意义（X2=61.358，P＜0.01）；且女性感染率大多高于同年龄段的男性（除70岁组外），男女2组各年龄段Hp感染率比较有统计学差异（P＜0.01）。是否结婚、是否做过胃镜、消化道相关病史及症状等因素与Hp现症感染率比较均有显著性差异（P＜0.01）。结论 温州市机关事业单位职工健康体检中Hp现症感染率略低于国人自然人群平均水平，且Hp感染率与性别、年龄、婚姻、病史及症状等因素相关。 |
| 英文摘要: |
| Abstract Objective To explore the prevalence and the risk factors of Helicobacter pylori(Hp) among staff in Wenzhou organs institutions, and to provide reference for health management of Hp infection prevention and control. Method Application questionaries to collect the relative information and disease history of 15817 subjects chosen in October 2013 to April 2014 in Wenzhou physical examination center. Hp infection was detected by 13C-urea breath test. Result 15817 subjects(9615 M/6202 F) were included in this study, the age distribution was from 20～93 years old(47.08 years old±14.50),The total Hp infection rate was about 54.38%.There was a significant difference between men（52.81%）and women(56.80%)（ X2=24.205，P＜0.01)．The Hp infection rates differed among each age groups. The positive rate of Hp increased with age .It appeared up-trend first and down-trend later and showed obvious statistical significance between different age groups（X2=61.358，P＜0.01）. The Hp infection rate among female was higher than that among male in the same age group(exclude older than 70 years old group).There exist a significant difference between male and female among various age groups（P＜0.01）.The difference have statistical significance in the marriage、gastroscopy、digestive diseases history as well as the prevalence of Hp（P＜0.01). Conclusion The prevalence of Hp patients in Wenzhou public institution was lower than the nation rate, the factors of Hp infection is associated with gender，age，marriage，disease history of digestive tract, and symptoms. |
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