沿海部队官兵幽门螺杆菌感染与上消化道疾病关系

Relation between Helicobacter pylori infection and upper digestive tract disease in officers and men of coastal military units

目的探讨沿海部队官兵幽门螺杆菌感染与上消化道疾病的关系,为预防和治疗提供科学依据。方法对沿海某部官兵行胃镜检查,距幽门2cm处于胃窦大弯、小弯各取活组织1块做快速尿素酶试验检测幽门螺杆菌(Helicobacter Pylori,HP)。并按年龄、疾病种类等分类统计。结果受检262例,疾病检出率95.8%,快速尿素酶试验阳性145例,阳性率55.3%。结论沿海部队官兵HP感染率与我国人群感染率基本一致,HP感染与十二指肠溃疡、十二指肠炎、慢性胃炎发生密切相关。针对基层部队官兵营地远离市区,官兵就诊看病有一定困难,基层部队医疗单位应积极做好防治预案,常规准备抑酸、促胃动力、保护胃黏膜等药物。应积极根除HP。

Objective To study the relation between Helicobacter pylori（HP） infection and upper digestive tract disease in officers and men of coastal military units in order to provide evidence for preventing and treating them.Methods Officers and men of coastal military units underwent gastroscopy.Biopsy was taken 2cm from greater and lesser curvatures of stomach,respectively,for the detection of HP by rapid urease test.Results A total of 262 cases received gastroscopy with a positive HP infection detection rate of 95.8%,and 145 cases underwent rapid urease test with a positive HP infection detection rate of 55.3%.Conclusion The HP infection rate is identical in officers and men of coastal military units and in common Chinese populations.HP infection is closely related with duodenal ulcer,duodenitis,and chronic gastritis.Since it is difficult for the officers and men in the grass-root military units to see doctors,acid-suppressing,gastric motility-promoting and gastric mucosa-protecting drugs should be well prepared in hospitals at the grass-root military units and HP should be radically eliminated.