滇黔桂交界地区幽门螺杆菌感染现状分析

发布时间：2019-01-18 10:15

【摘要】：目的:调查滇黔桂交界区域人群中幽门螺杆菌的感染情况,为幽门螺杆菌相关疾病的防治提供依据。方法:选择2012年1月至2015年12月在右江民族医学院附属医院进行单位健康的体检人员29 547人,其中公务员6 644人,医务人员1 484人,工人5 839人,教师5542人,学生10 038人,按照分层抽样的原则,系统随机抽取3 363人,其中公务员756人,医务人员215人,工人689人,教师654人,学生1 049人;民族分布:壮族1 515人,汉族897人,苗族234人,瑶族282人,仡佬族147人,布依族134人,其他民族154人,年龄7~65岁不等,用ELISA试剂法检测幽门螺杆菌感染情况,并分析幽门螺杆菌感染与民族、性别、年龄、职业及居住地的相关性。结果:本地区幽门螺杆菌的总阳性率为47.2%,人群分布情况,不同民族间,壮族阳性率最高为52.7%,仡佬族阳性率最低为31.3%;女性的感染率为41.5%,男性为53.3%;不同年龄层间,50~59岁年龄组的感染率最高为55.3%,18岁以下组人群感染率最低为19.6%;不同职业之间,公务员阳性率最高为57.9%;学生阳性率最低为35.9%;地区分布情况,百色市感染率最高为51.4%,黔西南州感染率最低为33.9%。不同民族、性别、年龄、职业、地域之间组间比较差异均具统计学意义(P0.05)。结论:滇黔桂交界区域人群幽门螺杆菌感染与民族、性别、年龄、职业及居住地存在相关。
[Abstract]:Objective: to investigate the infection of Helicobacter pylori in the population in the border area of Yunnan, Guizhou and Guangxi, and to provide evidence for the prevention and treatment of Helicobacter pylori related diseases. Methods: from January 2012 to December 2015, 29 547 health examination staff were selected from affiliated Hospital of Youjiang Medical College for nationalities, including 6 644 civil servants, 1 484 medical staff, 5 839 workers, 5542 teachers and 10 038 students. According to the principle of stratified sampling, 3 363 people were selected randomly, including 756 civil servants, 215 medical workers, 689 workers, 654 teachers and 1 049 students. Ethnic distribution: 1 515 Zhuang, 897 Han, 234 Miao, 282 Yao, 147 Gelao, 134 Buyi and 154 other nationalities, aged from 7 to 65 years. Helicobacter pylori infection was detected by ELISA reagent method. The relationship between Helicobacter pylori infection and nationality, sex, age, occupation and residence was analyzed. Results: the total positive rate of Helicobacter pylori in this area was 47.2. The distribution of population showed that the highest positive rate was 52.7 in Zhuang nationality and the lowest was 31.3 in Gelao nationality. The infection rate of female was 41.5 and that of male was 53.3. Among different age groups, the infection rate of 50 to 59 years old group was the highest, the lowest was 19.6 percent in the group under 18 years old. Among different occupations, the highest positive rate of civil servants was 57.9; the lowest positive rate of students was 35.9; the highest infection rate in Baise city was 51.4 in Baise city, and the lowest infection rate was 33.9 in Qianxinan Prefecture. There were significant differences among different ethnic groups, sex, age, occupation and region (P0.05). Conclusion: Helicobacter pylori infection is associated with nationality, sex, age, occupation and residence in Yunnan, Guizhou and Guangxi border population.
【作者单位】：广西右江民族医学院附属医院消化内科;广西右江民族医学院附属医院重症医学科;
【基金】：广西教育厅重点课题项目(编号:201202ZD078) 广西自然科学基金(编号:2012GXNSFAA053172)
【分类号】：R57

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