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中文摘要: 摘 要：目的：了解潍坊市临朐县中小学生幽门螺杆菌感染现状并分析相关危险因素，为规范化管理提供科学依据。方 法：2025年3—7月，选取临朐县部分城市社区与农村社区中小学进行儿童幽门螺杆菌检测，每个学校选取2~4年级学生， 每个年级按照纳入标准抽取。共纳入1280人，对选取儿童进行粪便幽门螺杆菌抗原检测及问卷调查，了解儿童幽门螺杆菌 感染情况及危险因素等。结果：1280名中小学生中，幽门螺杆菌感染107人，幽门螺杆菌感染率为8.36%,不同性别、不同 年龄段中小学生幽门螺杆菌感染率差异均无统计学意义 (P>0.05), 城市社区与农村社区中小学生幽门螺杆菌感染率差异 有统计学意义 (P<0.05) 。 单因素分析结果显示，临朐县中小学生幽门螺杆菌感染与经常吸吮手指、喜爱零食、餐前洗手、 固定餐具、饮用生水有关(P<0.05) 。logistic 回归分析结果显示，经常吸吮手指、餐前未洗手、饮用生水是中小学生幽门 螺杆菌感染的独立危险因素(P<0.05) 。 结论：应重点加强农村社区的中小学生卫生管理，推广固定餐具，积极改变吸吮 手指、饮用生水、餐前未洗手等不良生活习惯，有效降低中小学生幽门螺杆菌感染率，促进中小学生健康成长。
Abstract:Abstract: OBJECTIVE To understand the current status of Helicobacter pylori infection among primary and secondary school students in Linqu County of Weifang,and analyze the related risk factors,providing a scientific basis for the next step of standardized management. METHODS Helicobacter pylori detection was conducted among primary and secondary school students in some urban and rural communities in Linqu County.Students from grades 2 to 4 in each school were selected,and samples were drawn according to standards.A total of 1,280 children wereincluded.Fecal Helicobacter pylori antigen detection and questionnaire surveys were caried out to understand the infection status and related risk factors of Helicobacter pylori among children.RESULTS A total of 1,280 primary and secondary school students meeting the criteria were included in the study,with 107 cases of Helicobacter pylori infection,resulting in an infection rate of 8.36%.There was no statistically significant ifference in the infection rate among primary and secondary school students of ifferent genders and age groups(P>0.05),but there was a statistically significant difference in the infection rate between primary and secondary school students in urban and rural communities(P<0.05).Univariate analysis showed that Helicobacter pylori infection among primary and secondary school students in Linqu County was related to frequent finger-sucking,fondness for snacks,handwashing before meals,fixed tableware, and drinking raw water,with statistically significant differences(P<0.05).Multivarate Logistice regression analysis indicated that frequent finger-sucking,not washing hands before meals,and drinking raw water were independent risk factors for Helicobacter pylori infection among primary and secondary school students(P<0.05).CONCLUSION It should focus on strengthening the health management of primary and secondary school students in rural communities,promote the use of fixed tableware,and actively change the bad living habits such as sucking fingers,drinking raw water and not washing hands before meals,so as to effectively reduce the infection rate of children with Helicobacter pylori and promote the healthy growth of primary and secondary school students.
keywords: Keywords: primary and secondary school students helicobacter pylori urban-rural disparity prevention and control
文章编号：3202410026 中图分类号：R725.7;R181.3 文献标志码：
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