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中国自然人群幽门螺杆菌感染的流行病学调查 被引量:996

Prevalence of Helicobacter pylori infection in China
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摘要 背景幽门螺杆菌(Hp)感染与多种上消化道疾病包括胃癌有关,而我国Hp感染状况尚无大宗调查报告。目的通过调查了解我国各地区Hp的部分流行病学特征为防治提供参考。方法中国幽门螺杆菌科研协作组从2002年1月~2004年6月对全国19个省、市、自治区一般人群26341人Hp感染的危险因素、地理差异与Hp感染率等进行调查。结果 Hp的总感染率为56.22%,广东地区Hp感染率最低为42.01%,西藏Hp的感染率最高为84.62%。成人各年龄组、性别间无显著性差异。Hp感染的危险因素可能与水源、职业、环境、生活条件、教育水平有关。吸烟、饮酒与Hp感染的关系需进一步研究。结论本研究数据显示我国一般人群Hp感染率相对较高,间接粪-口传播和生活条件是Hp感染的重要危险因素,初步结果显示多数在儿童期即被Hp感染。 Background Helicobacter pylori(H.pylori) infection is associated with various upper gas-trointestinal diseases including gastric cancer. Objective To provide new data for prevention and treatment of H.pylori through an investigation on part of epidemiological characteristics in 19 provinces and autonomous regions,China. Methods To study the prevalence,geographical variation and risk factors of H.pylori infection in the general population in China,a nationwide investigation including 26,341 people from 19 provinces and autonomous regions was performed from January 2002 to June 2004. Results Overall,56.22% of the subjects were H.pylori positive. The prevalence rate of H.pylori infection was lowest in Guangdong province,which was 42.01%,and highest in Tibet,which was 84.62%. There were no differences in age,sex between H.pylori positive and negative people. The factors which may be associated with H.pylori infection were water source,occupation,living environment,and education level. Conclusions These data suggest that,the prevalence of H.pylori infection in China is relatively high,in general population,indirect fecal-oral transmission and living condition are important risk factors for H.pylori infection. As previous results,H.pylori infection is mostly ac-quired in childhood. Further investigation is needed to determine whether smoking and drinking are associated with H.pylori infection.
出处 《现代消化及介入诊疗》 2010年第5期265-270,共6页 Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词 幽门螺杆菌 流行病学 中国 Helicobacterpylori Epidemiology China
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参考文献7

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  • 4李瑜元 胡品津 见:胡伏莲 周殿元 主编.幽门螺杆菌的流行病学[A].见:胡伏莲,周殿元,主编.幽门螺杆菌感染的基础与临床(修订版)[C].北京:中国科学技术出版社,2002.47—53.
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二级参考文献3

  • 1杨海涛,第一军医大学学报,1990年,10卷,131页
  • 2杨海涛,中华流行病学杂志,1990年,11卷,251页
  • 3杨海涛,中华医学杂志,1988年,67卷,364页

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