中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
Chinese Journal of General Practitioners
2015年
9期
675-677
,共3页
宗晔%巴桑卓玛%伊比然恨%张澍田
宗曄%巴桑卓瑪%伊比然恨%張澍田
종엽%파상탁마%이비연한%장주전
螺杆菌,幽门%胃肠疾病%回顾性研究
螺桿菌,幽門%胃腸疾病%迴顧性研究
라간균,유문%위장질병%회고성연구
Helicobacter pylori%Gastrointestinal diseases%Retrospective studies
目的 了解西藏自治区拉萨市某医院就诊患者幽门螺杆菌(Hp)的感染状况.方法 回顾分析2009年1月至2013年12月于拉萨市人民医院就诊且行14C-尿素呼气试验患者的检查结果及临床资料,比较不同年度、不同疾病患者Hp检测结果.结果 2 908例患者Hp阳性者1 518例(52.20％).男性患者Hp阳性1 061例(1 061/1 939,54.72％),高于女性患者(457/969,47.16％),x2=14.788,P=0.000.2009年至2013年每年患者Hp阳性率分别为55.97％(267/477)、49.79％(239/480)、54.66％(375/686)、52.06％ (291/559)及49.15％(347/706),2013年Hp的阳性率显著低于2009年和2011年(P值分别为0.021、0.040).患者中藏族、汉族及回族Hp阳性率差异无统计学意义.2 908例患者中2 020例患者进行了内镜检查,其中1 098例患者(54.36％) Hp阳性.浅表性胃炎组Hp阳性率(39.91％)显著低于糜烂性胃炎组(x2=30.143,P=0.000)、胃溃疡组(x2=22.434,P=0.000)、胃息肉组(x2=9.627,P=0.002)、胃癌组(x2=9.506,P=0.002)、十二指肠球部溃疡组(x2=54.158,P=0.000)、十二指肠球炎组(x2=14.966,P=0.000)及复合性溃疡组(x2=8.582,P=0.003).十二指肠球部溃疡患者Hp阳性率(68.42％)显著高于浅表性胃炎组(x2=54.158,P=0.000)、糜烂性胃炎组(x2=6.733,P=0.009)、萎缩性胃炎组(x2=21.496,P=0.000)及胃溃疡组(x2=8.940,P=0.003).结论 拉萨地区医院就诊患者Hp检测阳性率有下降趋势,十二指肠球溃疡患者Hp阳性率仍较高.
目的 瞭解西藏自治區拉薩市某醫院就診患者幽門螺桿菌(Hp)的感染狀況.方法 迴顧分析2009年1月至2013年12月于拉薩市人民醫院就診且行14C-尿素呼氣試驗患者的檢查結果及臨床資料,比較不同年度、不同疾病患者Hp檢測結果.結果 2 908例患者Hp暘性者1 518例(52.20％).男性患者Hp暘性1 061例(1 061/1 939,54.72％),高于女性患者(457/969,47.16％),x2=14.788,P=0.000.2009年至2013年每年患者Hp暘性率分彆為55.97％(267/477)、49.79％(239/480)、54.66％(375/686)、52.06％ (291/559)及49.15％(347/706),2013年Hp的暘性率顯著低于2009年和2011年(P值分彆為0.021、0.040).患者中藏族、漢族及迴族Hp暘性率差異無統計學意義.2 908例患者中2 020例患者進行瞭內鏡檢查,其中1 098例患者(54.36％) Hp暘性.淺錶性胃炎組Hp暘性率(39.91％)顯著低于糜爛性胃炎組(x2=30.143,P=0.000)、胃潰瘍組(x2=22.434,P=0.000)、胃息肉組(x2=9.627,P=0.002)、胃癌組(x2=9.506,P=0.002)、十二指腸毬部潰瘍組(x2=54.158,P=0.000)、十二指腸毬炎組(x2=14.966,P=0.000)及複閤性潰瘍組(x2=8.582,P=0.003).十二指腸毬部潰瘍患者Hp暘性率(68.42％)顯著高于淺錶性胃炎組(x2=54.158,P=0.000)、糜爛性胃炎組(x2=6.733,P=0.009)、萎縮性胃炎組(x2=21.496,P=0.000)及胃潰瘍組(x2=8.940,P=0.003).結論 拉薩地區醫院就診患者Hp檢測暘性率有下降趨勢,十二指腸毬潰瘍患者Hp暘性率仍較高.
목적 료해서장자치구랍살시모의원취진환자유문라간균(Hp)적감염상황.방법 회고분석2009년1월지2013년12월우랍살시인민의원취진차행14C-뇨소호기시험환자적검사결과급림상자료,비교불동년도、불동질병환자Hp검측결과.결과 2 908례환자Hp양성자1 518례(52.20％).남성환자Hp양성1 061례(1 061/1 939,54.72％),고우녀성환자(457/969,47.16％),x2=14.788,P=0.000.2009년지2013년매년환자Hp양성솔분별위55.97％(267/477)、49.79％(239/480)、54.66％(375/686)、52.06％ (291/559)급49.15％(347/706),2013년Hp적양성솔현저저우2009년화2011년(P치분별위0.021、0.040).환자중장족、한족급회족Hp양성솔차이무통계학의의.2 908례환자중2 020례환자진행료내경검사,기중1 098례환자(54.36％) Hp양성.천표성위염조Hp양성솔(39.91％)현저저우미란성위염조(x2=30.143,P=0.000)、위궤양조(x2=22.434,P=0.000)、위식육조(x2=9.627,P=0.002)、위암조(x2=9.506,P=0.002)、십이지장구부궤양조(x2=54.158,P=0.000)、십이지장구염조(x2=14.966,P=0.000)급복합성궤양조(x2=8.582,P=0.003).십이지장구부궤양환자Hp양성솔(68.42％)현저고우천표성위염조(x2=54.158,P=0.000)、미란성위염조(x2=6.733,P=0.009)、위축성위염조(x2=21.496,P=0.000)급위궤양조(x2=8.940,P=0.003).결론 랍살지구의원취진환자Hp검측양성솔유하강추세,십이지장구궤양환자Hp양성솔잉교고.
Objective To investigate the infection status of Helicobacter pylori (Hp) in a Lhasa hospital.Methods A retrospective survey of Hp infection from 2009 to 2013 was conducted in Lhasa People's Hospital.The data of 14C-urea breath test and gastroscopy were analyzed.Results A total of 2 908 patients were enrolled,1 518 (52.20％) were Hp positive,including 1 061 males (1 061/1 939,54.72％) and 457 females (457/969,47.16％).The Hp infection rate in males was higher than that in females (x2 =14.788,P =0.000).The Hp infection rate by years from 2009 to 2013 was 55.97％ (267/477),49.79％ (239/480),54.66％ (375/686),52.06％ (291/559) and 49.15％ (347/706),respectively.The infection rate in 2013 was significantly lower than that in 2009 and 2011 (P =0.021,0.040).There were no significant differences in Hp infection rates among Tibetan,Han and Hui ethnic groups.In 2020 cases who underwent endoscopic examination,1 098 had Hp positive (54.36％).The Hp infection rate in chronic superficial gastritis group(39.91％) was significantly lower than that in erosive gastritis (x2 =30.143,P =0.000),gastric ulcer (x2 =22.434,P =0.000),gastric polyps (x2 =9.627,P=0.002),gastric cancer (x2 =9.506,P =0.002),duodenal ulcer (x2 =54.158,P =0.000),duodenitis (x2 =14.966,P =0.000) and compound ulcer groups (x2 =8.582,P =0.003).The Hp infection rate in duodenal ulcer group (68.42％) was significantly higher than that in chronic superficial gastritis (x2 =54.158,P =0.000),erosive gastritis (x2 =6.733,P =0.009),atrophic gastritis (x2 =21.496,P =0.000) and gastric ulcer groups (x2 =8.940,P =0.003).Conclusion Hp infection rate appears a decreasing trend in Lhasa area in last 5 years; among various gastro-duodenal diseases patients with duodenal ulcer have a highest Hp infection rate.
