CAJ | 학술논문

目的：探讨健康体检人群中胃幽门螺杆菌感染的分布特点。方法选取2005年5月至2011年12月在解放军总医院健康医学中心进行体检的51025名健康体检者作为研究对象，记录年龄、性别；采用碳十三呼气试验判断是否存在胃幽门螺杆菌的现症感染；利用统计软件SPSS 13.0对不同人群中的幽门螺杆菌感染率进行分析。结果不同地区的胃幽门螺杆菌感染阳性率不同。男性感染率（51.2%）高于女性（46.1%）；30岁以上年龄组感染率均明显高于30岁以下年龄组（P＜0.001）；感染率呈现出从＜20岁→20～30岁→＞60岁→30～40岁，40～50岁，50～60岁年龄组逐渐升高的趋势；30～40岁，40～50岁，50～60岁三个年龄组中的幽门螺杆菌感染比例无统计学差异（P＞0.05）；除＜20岁年龄组外，在其他各年龄组中男性的幽门螺杆菌感染率均高于女性（P＜0.05）。结论不同地区的幽门螺杆菌感染情况不同；胃幽门螺杆菌感染情况在不同的年龄层次以及不同性别的人群中存在着差异；应该针对不同人群的特点强化对胃幽门螺杆菌感染的健康管理和健康教育。
목적：탐토건강체검인군중위유문라간균감염적분포특점。방법선취2005년5월지2011년12월재해방군총의원건강의학중심진행체검적51025명건강체검자작위연구대상，기록년령、성별；채용탄십삼호기시험판단시부존재위유문라간균적현증감염；이용통계연건SPSS 13.0대불동인군중적유문라간균감염솔진행분석。결과불동지구적위유문라간균감염양성솔불동。남성감염솔（51.2%）고우녀성（46.1%）；30세이상년령조감염솔균명현고우30세이하년령조（P＜0.001）；감염솔정현출종＜20세→20～30세→＞60세→30～40세，40～50세，50～60세년령조축점승고적추세；30～40세，40～50세，50～60세삼개년령조중적유문라간균감염비례무통계학차이（P＞0.05）；제＜20세년령조외，재기타각년령조중남성적유문라간균감염솔균고우녀성（P＜0.05）。결론불동지구적유문라간균감염정황불동；위유문라간균감염정황재불동적년령층차이급불동성별적인군중존재착차이；응해침대불동인군적특점강화대위유문라간균감염적건강관리화건강교육。
Objective To explore the characteristics of the helicobacter pylori infection in the health physical examination population. Methods Physical examination data, from May 1st, 2005 to December 30th, 2011, was analyzed, which included 51 025 adults from Health Science Center, Chinese PLA General Hospital. Age and gender was recorded, and the diagnosis of helicobacter pylori infection was diagnosed by using 13C-urea breath test. Helicobacter pylori infection rates in different groups were analyzed with SPSS13.0. Results The different areas showed different helicobacter pylori infection rates. Positive rate in males (51.2%) was higher than that in females(46.1%). Positive rates in the groups (age<30 years) were lower than the positive rates in the groups (age>30 years). The helicobacter pylori infection rates in different groups unfolded an upward trend from<20 years, to 20-30 years, and then >60 years, at last 30-40 years, 40-50 years, 50-60 years. While, the positive rates of helicobacter pylori infection were not different among the three groups (30-40 years, 40-50 years, 50-60 years) (P>0.05). Except for the two groups (<20 years and 20-30 years), the positive rates of helicobacter pylori infection in males were all higher than the infection rates in females among the other four groups (P<0.05). Conclusions The positive rates of helicobacter pylori are different in different areas. Helicobacter pylori infection was associated with age and gender. Health management should be carried out according to its epidemiologic characteristics.