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[目的]了解煤矿开采区居民幽门螺杆菌(Hp)感染状况,探讨影响其感染的主要因素,为制定有效的防治措施提供依据。[方法]2010年在济宁市某矿区开采区抽取263名6岁及以上居民,进行相关行为因素调查,检测血清HpIgG抗体。[结果]检测的263人中Hp IgG抗体阳性的151例,阳性率为57.41%。Hp IgG抗体男性阳性率为60.50%,女性为54.86%(P>0.05);6～10岁为28.57%,51～60岁为74.07%,随着年龄的增长有逐渐增长的趋势(P<0.01);未成年人时人均居住面积≤10m2的为65.22%,>10m2的为48.80%(P<0.01);家庭进餐形式为几代共进者为73.68%,核心家庭分餐者为50.80%(P<0.01);经常吃醋者为48.24%,不常吃醋者为61.80%(P<0.05);经常吃水果者为50.87%,不经常吃水果者为70.00%(P<0.01);婴儿时期经常口嚼喂养者为71.05%,从不口嚼喂养者为51.87%(P<0.01)。检测74对夫妻,双方Hp IgG抗体均阳性的33对,均阴性的12对,丈夫阳性妻子阴性的15对,丈夫阴性妻子阳性的14对(P>0.05)。子女Hp IgG抗体阳性率,父母均阳性者为62.50%,父母均阴性者为25.00%(P<0.01);父亲或母亲阳性者为54.35%。[结论]煤矿开采区居民Hp感染率较高,Hp感染受到诸多生活方式与习惯的影响,并存在家庭聚集性。
[Objective] To understand the status of Helicobacter pylori (Hp) infection in coal mining areas and to explore the main factors that affect the infection, and provide the basis for effective prevention and control measures. [Method] Totally 263 residents aged 6 years and older were selected from a mining area in Jining City in 2010 to investigate the relevant behavioral factors and to detect serum HpIgG antibody. [Results] Of the 263 detected Hp IgG positive 151 cases, the positive rate was 57.41%. The positive rate of Hp IgG was 60.50% in males and 54.86% in females (P> 0.05). The average age of Hp IgG antibody was 28.57% at 6 to 10 years old and 74.07% at 51 to 60 years old, with a trend of increasing gradually with age (P <0.01) ). In the case of minors, the average living area per capita was 65.22% ≤10m2, and 48.80% (P <0.01) for> 10m2. The family meals were 73.68% for several generations and 50.80% for core family meals (P <0.01); those who often ate vinegar were 48.24%, those who were not avalanche were 61.80% (P <0.05); those who often eat fruits were 50.87%, those who did not eat fruits frequently were 70.00% 71.05% of those who chewed and 51.87% never chewed their feed (P <0.01). There were 33 pairs of positive Hp IgG antibodies in both couples, 12 pairs were negative, 15 pairs were negative for husband positive wife, and 14 pairs were positive for husband negative wife (P> 0.05). The positive rate of Hp IgG antibody in children was 62.50% with positive parents and 25.00% with negative parents (P <0.01), and 54.35% with positive parents. [Conclusion] The infection rate of Hp in residents in coal mining area is high, and Hp infection is affected by many lifestyles and habits, and there is family aggregation.