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目的了解基层部队官兵幽门螺杆菌(Helicobacter pylori,Hp)的感染情况,分析其危险因素及是否存在以班、排为单位的聚集性,为临床预防和治疗提供依据。方法采用整群抽样调查方法,于2013年7-8月对南方战区某地510名军人进行问卷调查,内容包括67个可能与Hp感染有关的问题;采用血清Hp Ig G抗体和14C呼气试验方法进行以Hp感染检测,如任何一项检测结果为阳性则判断Hp感染为阳性。应用SPSS 18.0软件和χ2检验对数据进行统计分析,采用二项分布的拟合优度检验Hp感染的危险因素及班排感染的聚集性。结果 510名军人Hp总感染率为59.2%。Hp感染率随年龄、服役时间和住排房时间的增加而升高,已婚、入伍前共同生活的家庭人口数多和有集体生活史的军人Hp感染率显著升高,喜爱吃生姜和土豆及其制品的军人Hp感染率明显升高,洗刷碗筷时使用洗洁剂的军人Hp感染率明显降低,差异均有统计学意义(P<0.05);Hp感染在以班为单位时有聚集性(χ2=10.57,P<0.05),而在以排为单位时无聚集性(χ2=9.99,P>0.05)。结论 Hp感染在部队军人中特别是班内具有聚集性,且随年龄、服役时间和住排房时间的增加而升高,鉴于军人健康对于国防的重要性,应引起部队相关部门的重视,采取适当干预措施逐步降低军人的Hp感染率。
Objective To understand the prevalence of helicobacter pylori (Helicobacter pylori) infection in grassroots units and to analyze its risk factors and the presence of cohesion in classes and platoons, so as to provide evidence for clinical prevention and treatment. Methods A cluster sampling survey was conducted in July-August 2013 to investigate 510 military personnel in a southern theater of war, including 67 possible problems related to Hp infection. Serum Hp Ig G antibody and 14C breath test Methods Hp infection test, if any one test results were positive to determine Hp infection was positive. SPSS 18.0 software and χ2 test were used to analyze the data. The binomial distribution goodness of fit was used to test the risk factors of Hp infection and the agglutination of the infection in the class. Results The total infection rate of Hp in 510 soldiers was 59.2%. The prevalence of Hp infection increased with the increase of age, service time and the time of living in the city. The Hp infection rate of the married and married people living together before the enlistment and the life history of the group increased significantly, and they liked to eat ginger and potatoes (P <0.05). The prevalence of Hp infection in military servicemen and their products increased significantly. The Hp infection rate of servicemen who used detergent when washing dishes and chopsticks was significantly lower (P <0.05) (Χ2 = 10.57, P <0.05), but no aggregation in row (χ2 = 9.99, P> 0.05). Conclusions Hp infection accumulates in the army, especially in the squad, and increases with age, service time and the time of living in the city. In view of the importance of military health to national defense, it should be taken seriously by relevant departments of the armed forces to take Appropriate interventions will gradually reduce the Hp infection rate among military personnel.