摘要
目的探讨上海市静安区彭浦新村街道社区幽门螺杆菌(Hp)感染人群的感染特点,为基层Hp感染的防治提供参考。方法2020年7月,采用单纯随机抽样法随机选取2018年8月1日至2019年7月31日在上海市静安区彭浦新村街道社区卫生服务中心就诊的经14C呼气试验明确诊断Hp感染者360例行问卷调查。调查内容包括一般资料、消化道症状、症状类型、疾病危害知晓、外出聚餐情况、家庭成员Hp感染情况等问题,收集有效问卷335例,有效应答率93.06%(335/360),分析335例感染者的年龄及性别构成、症状和构成特点、对感染危害的知晓情况、外出聚餐和Hp感染家庭聚集性情况等。结果335例Hp感染者中,有症状者282例,无症状者53例。有症状和无症状的Hp感染者家庭成员感染率分别为55.67%(157/282)和56.60%(30/53),差异无统计学意义(χ²=0.016,P>0.05);282例有症状感染者中,症状总频次646次,其中嗳气为最常出现症状(27.09%,175/646),之后依次为腹胀(22.45%,145/646)、反酸(17.03%,110/646)、腹痛(14.86%,96/646)、口气(14.55%,94/646)等,单一症状组、2项症状组及≥3项症状组3组Hp感染者口气、反酸、嗳气、腹胀、腹痛等主要症状频次构成比差异无统计学意义(χ²=13.297,P>0.05);经常外出聚餐和不经常外出聚餐者家庭成员Hp感染率分别为82.40%(103/125)和40.00%(84/210),差异有统计学意义(χ²=57.122,P<0.01);不同文化程度Hp感染者对Hp危害的知晓率依次为:小学及以下9.43%(5/53),初中51.55%(50/97),高中62.50%(65/104),大专及以上87.65%(71/81),差异有统计学意义(χ²=82.447,P<0.01);男性与女性Hp感染者各年龄段构成比差别无统计学意义(χ²=1.155,P>0.05)。结论经常外出聚餐的Hp感染者家庭成员Hp感染率更高,应加强社区Hp感染者健康管理,提高社区居民尤其是初中及以下文化程度居民对Hp感染危害知晓率,以降低Hp感染的危害。
Objective To investigate the characteristics of Helicobacter pylori(Hp)infection in community patients.Methods In July 2020,Three hundred and sixty outpatients with Hp infection confirmed by 14C breath test from August 2018 to July 2019 in Pengpuxincun community health service center of Jing′an District of Shanghai were selected by simple random sampling for a questionnaire survey.The contents of the questionnaire included general information,symptoms of digestive tract,awareness of disease hazards,frequency of dining out,Hp infection in family members.A total of 335 valid questionnaires were collected with a response rate of 93.06%(335/360).Results Among 335 cases of Hp infection,282 cases had clinical symptoms and 53 cases had no clinical symptoms.The infection rate of family members of Hp infected patients with and without clinical symptoms was 55.67%(157/282)and 56.60%(30/53)respectively(χ²=0.016,P>0.05).Belching was the most common symptom(27.09%,175/646),followed by abdominal distension(22.45%,145/646),acid reflux(17.03%,110/646),abdominal pain(14.86%),halitosis(14.55%).There was no significant difference in the frequency of halitosis,acid regurgitation,belching,abdominal distension and abdominal pain among the three groups(χ²=13.297,P>0.05).The Hp infection rate of family members with frequent or seldom out dining was 82.40%(103/125)and 40.00%(84/210),respectively,(χ²=57.122,P<0.05).The awareness rates of Hp hazard in patients with educational levels of primary school and below,junior high school,senior high school and junior college and above were 9.43%(5/53),51.55%(50/97),62.50%(65/104)and 87.65%(71/81),respectively(χ²=82.447,P<0.01).There was no significant difference in the age distribution between males and females(χ²=1.155,P>0.05).Conclusion It is necessary to strengthen the health management of Hp infected people and improve the awareness of Hp infection hazards among community residents to reduce Hp infection rate in the community.
作者
王芝珺
杨行堂
Wang Zhijun;Yang Xingtang(Dartment of General practice,Pengpuxincun Community Health Service Center,Jing′an District,Shanghai 200435,China;Department of Emergency,Shanghai Tenth People′s Hospital,Tongji University School of Medicine,Shanghai 200072,China)
出处
《中华全科医师杂志》
2021年第6期657-661,共5页
Chinese Journal of General Practitioners
关键词
螺杆菌
幽门
感染
社区卫生中心
Helicobacter pylori
Infection
Community health centers
