彝汉族聚居地区胃Hp感染的血清流行病学研究

来源 :新消化病学杂志 | 被引量 : 0次 | 上传用户:purelife100
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目的了解我国少数民族地区Hp感染是否存在民族差异.方法1994年4月-7月用整群抽样收集和调查云南云县彝族(n=466)、汉族(n=618)聚居地区1084名自然人群.作血清抗Hp-IgG检测,其中325人同时作血清抗HAV-IgG检测.同时进行问卷调查有关流行因素.结果彝族Hp感染单因素分析与饮水等10个流行因素相关,多因素Logistic分析筛选出饮水、养猪、家族胃癌史、大蒜和吸毒等6个重要因素.汉族Hp感染单因素分析与饮水等14个流行因素有关,多因素Logistic分析筛选出饮水、上消化道症状、吸毒和大蒜等5个重要因素.彝、汉族感染率无差异,作48个变量彝、汉族的相关分析除家族胃癌史和服用中药有显著性差异外均无显著性差异.结论彝汉族Hp感染无差异性 Objective To understand whether ethnic differences exist in Hp infection in ethnic minority areas in China. Methods From April to July 1994, 1084 natural persons from Yi nationality (n = 466) and Han nationality (n = 618) in YunNan were collected and investigated by cluster sampling. Serum anti-Hp-IgG test, of which 325 were also for serum anti-HAV-IgG test. Conduct a questionnaire survey on the prevalence of factors. Results Univariate analysis of Yi infection of Hp was associated with 10 epidemiological factors such as drinking water. Logistic analysis was used to identify 6 important factors such as drinking water, pig raising, family history of gastric cancer, garlic and drug use. Han single factor analysis of Hp infection and drinking water and other 14 epidemiological factors, multi-factor Lo  gistic analysis of drinking water, upper gastrointestinal symptoms, drug use and garlic and other five important factors. There was no difference in the infection rates of Yi and Han nationality. There was no significant difference in the correlation analysis between 48 Yi variables and Han nationality except for the history of familial gastric cancer and taking traditional Chinese medicine. Conclusion There is no difference in Hp infection between Yi and Han nationality
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