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目的探讨江西省吉安地区感染幽门螺杆菌穴Hp雪胃病患者在日常生活中感染Hp的影响因素,为预防幽门螺杆菌相关性胃病的发生提供参考依据。方法对621例胃病患者进行14C鄄尿素呼气试验,检测前应用双盲法进行问卷调查,资料进行非条件Logistic回归分析。结果Hp感染率为68.43%,41～50岁组阳性率为73.81%,男性Hp阳性率为73.04%,女性为61.09%。在17个可能易感因素中,年龄、居住地、职业、家中共餐人数、饮茶、辣食、熏腌、豆类制品是与Hp感染有联系的相关因子,P均<0.01;而吸烟、饮酒、饮牛奶、喜甜食、蔬菜、偏咸或淡等因素均与感染Hp无明显关系穴P均>0.05雪。结论外出就餐次数多、家庭共餐人数多、喜欢吃辣和熏腌制品的食物、从事农业、农村地区居住等为危险因素;喜欢吃豆类食物、经常饮茶等为保护因素。应提倡多吃豆类食物,多饮茶,少吃辣的食物,推广分餐制,做好自我防护。
Objective To investigate the influential factors of Hp infection in daily life of H. pylori-infected patients with Helicobacter pylori infection in Ji’an, Jiangxi Province, and to provide references for the prevention of Helicobacter pylori-related gastric diseases. Methods A total of 621 gastric patients were subjected to 14 C-urea breath test. Before the test, a double-blind method was used to investigate the data. The data were analyzed by non-conditional logistic regression analysis. Results The infection rate of Hp was 68.43%, the positive rate of Hp infection was 73.81% in 41 ~ 50 years old group, the positive rate of Hp was 73.04% in male and 61.09% in female. Of the 17 possible predisposing factors, age, place of residence, occupation, number of meals in the house, tea, spicy food, smoked salted, and legume products were all related factors of Hp infection, P <0.01; while smoking , Drinking, drinking milk, likes sweets, vegetables, salty or light and other factors are not significantly associated with infection Hp point P> 0.05 snow. Conclusions There are more outings and meals, more family meals, food like spicy and smoked pickled products, agriculture and living in rural areas as risk factors, like eating legumes and drinking tea regularly. Should be encouraged to eat more beans, drink more tea, eat spicy food, promote meals system, self-protection.