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目的探讨幽门螺杆菌(Hp)感染与胃癌的关系。方法在世界胃癌最高发区之一—福建省长乐市进行1∶1配对病例对照研究,用ELISA方法检测血清抗Hp的IgG抗体。结果研究对象中Hp阳性总检出率为6368%,病例和对照Hp感染率的差异无显著意义(P>005)。胃腺癌病例Hp感染率为6818%。贲门部胃癌Hp感染率为5600%。胃癌高发区Hp感染率高。结论Hp感染与长期摄入鱼露、少吃新鲜蔬菜和不良饮食习惯等因素相互作用,胃癌发生的危险性增高。
Objective To investigate the relationship between Helicobacter pylori (Hp) infection and gastric cancer. METHODS: A 1:1 matched case-control study was conducted in Changle City, Fujian Province, one of the highest cancer areas in the world, and IgG antibodies against Hp were detected by ELISA. RESULTS: The total positive rate of Hp was 63.8% in the study subjects, and there was no significant difference between the cases and control Hp infection rates (P>0.05). The incidence of Hp infection in gastric adenocarcinoma was 68% and 18%. The gastric cancer Hp infection rate in the gastric cardia was 56.0%. High incidence of Hp infection in gastric cancer is high. Conclusion Hp infection interacts with long-term intake of fish sauce, eating less fresh vegetables and poor dietary habits, and the risk of gastric cancer increases.