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1.625000 四川 雅安,联勤保障部队第945医院:消化呼吸内科
2.400042 重庆,陆军特色医学中心消化内科
3.625000 四川 雅安,联勤保障部队第945医院:心肾内科
4.625000 四川 雅安,联勤保障部队第945医院:军队伤病员管理科
5.626000 四川 甘孜,四川省甘孜县武警四川省总队机动第三支队
6.625000 四川 雅安,联勤保障部队第945医院:卫勤处
[ 兰春慧, E-mail: lanchunhui@tmmu.edu.cn LAN Chunhui, E-mail: lanchunhui@tmmu.edu.cn
收稿:2023-02-26,
修回:2023-04-19,
纸质出版:2023-09-30
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王瑞, 刘瀚宁, 先锋, 等. 川藏线官兵幽门螺杆菌感染的相关因素分析[J]. 陆军军医大学学报, 2023,45(18):1990-封三.
Rui WANG, Hanning LIU, Feng XIAN, et al. Related factors for
王瑞, 刘瀚宁, 先锋, 等. 川藏线官兵幽门螺杆菌感染的相关因素分析[J]. 陆军军医大学学报, 2023,45(18):1990-封三. DOI: 10.16016/j.2097-0927.202302146.
Rui WANG, Hanning LIU, Feng XIAN, et al. Related factors for
目的
2
调查川藏线官兵幽门螺杆菌(
Helicobacter pylori
H
.
pylori
)的感染状况,探讨相关因素。
方法
2
2022年7-12月采用自制电子问卷对川藏线594名在海拔3 300 m的官兵和513名在海拔550 m的官兵进行
H. pylori
相关因素的调查,用
13
C呼气试验检测幽门螺杆菌感染、Logistic回归分析
H. pylori
感染的相关因素。
结果
2
1 107人中
H. pylori
检测阳性者为414人,检出率为37.3%。其中高海拔地区官兵的
H. pylori
检出率明显高于低海拔地区(43.4%
vs
30.4%,
P
<
0.05)。Logistic回归分析显示,居住地为高海拔,聚餐,具有腹胀、反酸症状是
H
.
pylori
检出的相关因素(
P
<
0.05)。38.8%的官兵完全不了解
H
.
pylori
的传播途径及致病性等相关知识。
结论
2
高海拔地区的官兵
H
.
pylori
感染率较高,官兵对
H
.
pylori
认知率较低。居住地为高海拔、聚餐、具有腹胀、反酸症状是
H
.
pylori
检出的相关因素。
Objective
2
To investigate the status of
Helicobacter pylori
(
H
.
pylori
) infection in officers and soldiers on the Sichuan-Tibet route and to explore the related factors.
Methods
2
A self-made electronic questionnaire was used to investigate the factors associated with
H. pylori
infection in 594 officers and soldiers at an altitude of 3 300 m
and 513 officers and soldiers at an altitude of 550 m on the Sichuan-Tibet route from July to December
2022.
13
C urea breath test was used to detect
H. pylori
infection. The factors associated with the infection were analyzed by logistic regression analysis.
Results
2
Among the 1 107 subjects
414 were positive to
H. pylori
with a d
etection rate of 37.3%. The detection rate of
H. pylori
was significantly higher among the subjects at high altitude than those at low altitude (43.4%
vs
30.4%
P
<
0.05). Logistic regression analysis showed that residence at high altitude
dining together
and having symptoms of bloating and acid reflux were factors associated with
H. pylori
detection (
P
<
0.05). In these officers and soldiers
38.8% of them had complete unawareness of the transmission route and pathogenicity of
H. pylori
and other related knowledge.
Conclusion
2
The rate of
H. pylori
infection is quite higher among the officers and soldiers stationing at high altitude
and they have low awareness of
H. pylori
. Residence at high altitude
dining together
and having symptoms of bloating and acid reflux are factors associated with the detection of
H. pylori
.
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