目的 了解武警某机动部队官兵幽门螺杆菌(helicobacter pylori,Hp)感染情况及其影响因素。 方法 随机抽取武警某总队机动部队官兵912名,填写一般情况问卷调查表,采用13C呼气试验进行Hp检测,对感染者相关因素进行统计学分析。 结果 912名受检官兵Hp感染率为56.5%,其中<20、20~30、≥30年龄组Hp感染率分别为53.2%,56.1%和64.5%,三组比较差异无统计学意义(P>0.05)。大学及大学以上文化程度Hp感染率为30.4%,明显低于高中及以下文化程度的62.4%,差异有统计学意义(P<0.001)。40.7%的干部感染了幽门螺杆菌,明显低于战士的58.1%,差异有统计学意义(P=0.002)。入伍前居住城市者与居住农村者感染率差异有统计学意义(P<0.001)。 结论 武警机动部队Hp感染率高于国内平均水平,文化程度、职务因素及其入伍前居住环境对Hp感染有明显的影响。
Abstract
Objective To investigate the incidence and influencing factors of Helicobacter pylori (Hp) infections in a unit of maneuverable Armed Police.Methods We collected expiration samples from 912 members of the Armed Police Force,and general information questionnaires were used. Cases of Hp infections were evaluated with 13C-urea breath testing, and the factors related to the infected patients were analyzed statistically.Results The Hp infection rate was 56.5％ in this population.The Hp infection rates of patients aged less than 20、20 to 30、and over 30 were 53.2%,56.1% and 64.5%, respectively. There was no significant difference between the three groups(P>0.05). Those with a college degree were found to have a lower Hp infection rate than those with a high school diploma (30.4% vs 62.4%, P＜0.001). The Hp infection rate of soldiers was higher than that of officers (58.1% vs 40.7%, P=0.002).There was statistically significant difference in the detection rate between those from cities and those from rural areas (P＜0.001).Conclusions The Hp infection rate of maneuverable Armed Police is higher than the average rate in China. Levels of education, ranks and previous living environments have obvious effects on the incidence of Hp infections.
关键词
机动部队 /
幽门螺旋杆菌 /
感染率
Key words
maneuverable Armed Police /
Helicobacter pylori /
infection rate
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参考文献
[1] 张建中. 中国人群幽门螺旋杆菌感染与内镜依赖性防治策略[J].中华消化内镜杂志,2016, 33 (11):733-735.
[2] 顾 勇,杨 艳,王 兰,等. 新四联根除幽门螺旋杆菌的临床对比研究[J].武警医学,2016,27(5):493-496.
[3] Gernot P,Jean E,Crabtree,et al.Proteolysis in helicobacter pylori induced gastric cancer[J]. Toxins (Basel),2017,9(4): 134.
[4] Rong G Zg,Guang C D,QingT F,et al.Role of helicobacter pylori infection in pathogenesis of gastric carcinoma[J].World J Gastrointest,2016,7(1): 97-107.
[5] Kabamba E T,Tuan V P,Yamaoka Y. Genetic populations and virulence factorsof helicobacter pylori[J].Infect Genet Evol,2018,60:109-116.
[6] German S V,Bobrovnitsky I P.New aspects of Helicobacter pylori infection: Association with metabolic disturbances[J].Ter Arkh,2017,89(10):102-107.
[7] Hagymási K,Tulassay Z.Helicobacter pylori infection: new pathogenetic and clinical aspects[J].World J Gastroenterol,2014 ,20(21):6386-6399.
[8] Korwin J D,Ianiro G,Gibiino G,et al. Helicobacter pylori infection and extragastric diseases in 2017[J].Helicobacter,2017,22 Suppl 1.
[9] He C,Yang Z,Lu N. balance of Gastrointestinal Microbiota in the pathogenesis of helicobacterpylori-associated diseases[J].Helicobacter,2016,21(5):337-348.
[10] 张万岱,胡伏莲,萧树东,等. 中国自然人群幽门螺杆菌感染的流行病学调查[J].现代消化及介入诊疗,2010,15(5):265-270.
[11] 谢 川,吕农华.中国幽门螺杆菌感染现状与根除治疗的利弊[J].中华内科杂志,2017,56( 5 ): 327-330.
[12] 王晓君,王 雯. 军人幽门螺杆菌感染与上消化道疾病的关系[J].解放军预防医学杂志,2007,25(3):223-226.
[13] 贾淑云,贾红云,刘海峰. 驻戈壁沙漠地区军人Hp感染的分型及与消化性溃疡的关系[J]. 现代中西医结合杂志,2012,21(3):254-255.
[14] 温丽娜,刘 磊.3733例健康体检者胃幽门螺杆菌检测结果分析[J]. 国际检验医学杂志, 2016,7(24): 3465-3466.
[15] Zamani M,Ebrahimtabar F,Zamani V,et al. Systematic review with meta-analysis: the worldwide prevalence of helicobacter pylori infection[J].Aliment Pharmacol,2018,47(7):868-876.
[16] 向 阳,王晓波,周 琳.海边防部队官兵幽门螺杆菌感染情况的调查[J]. 中华保健医学杂志,2012,14(6):436-438.
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