摘要
目的调查来医院体检中心健康体检的出租车司机幽门螺旋杆菌（Hp）的感染情况，为临床诊断与预防提供参考。方法用^14C-呼气试验和酶联免疫吸附实验（ELISA法）同时平行检测来体检中心健康体检的出租车司机394例及对照组为行政单位1735例和教育工作者查体人员627例的Hp感染状况。结果对照组Hp感染率为49％（1154／2362），其中行政单位查体人员Hp感染率为51％（885／1735），教育工作者查体人员Hp感染率43％（269／627），两者比较差异有统计学意义（χ^2=12．7，P〈0.05），出租车司机Hp感染率为71．6％（282／394），显著高于对照组，差异有统计学显著性意义（χ^2=21．3，P〈0．01）。^14C呼气试验Hp检出率62．1％（1467／2362），ELISA法为58.7％（1387／2362），两方法Hp阳性检出率具有良好的相关性（r=0．934）。结论出租车司机Hp感染率明显高于一般查体人员，这可能与其职业压力、精神紧张、不规律的就餐和长期外面快餐以及长时间处于坐位姿势、工作时间长等原因有关，加强出租车行业人员Hp检测，宣传和预防减少Hp感染。
Objective Surveys to the taxi driver to Hospital Medical Center healthy Hdicobacter pylori （Hp） infection pro- vide a reference for the clinical diagnosis and prevention. Methods Used 14C-breath test and enzyme-linked immunosorbent assay （ELISA） in parallel to detect 394 cases to the medical center healthy taxi drivers and the control group of 1 735 cases of administrative units and educators investigation staff of 627 cases of Hpinfection status. Results Hp infection of the con- trol group was 49% （1 154/2 362）. Among them,examination of the administrative unit staff Hp infection rate was 51% （885/1 735）,examination of the educators 43% （269/627）. Both comparing,there was statistically significant （χ2 =12.7, P 〈0.05）, taxi drivers Hp infection rate was 71.6 % （282/394）, significantly higher than, than control group （χ2 = 21.3, P〈 0.01）. 14C-breath test for Hp detection rate was 62. 1% （1 467/2 362）,and the ELISA method was 58. 7% （1 387/2 362）, the positive rates of the two methods Hp had a good correlation （r=0. 934）. Conclusion The taxi driver to Hp infection was significantly higher than the general examination staff,which may be related to occupational stress, mental stress, irregular meals and long-term outside of fast food, and in a sitting posture for a long time, long working hours and other reasons related to strengthening the taxi industryofficers Hp detection,awareness and prevention to reduce the Hp infection.
出处
《现代检验医学杂志》
CAS
2012年第3期121-122,128,共3页
Journal of Modern Laboratory Medicine
