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健康体检人群幽门螺杆菌感染与代谢指标的相关性▲
Correlations between Helicobacter pylori infection and metabolic indicators in a healthy physical examination population

内科 页码:169-172

作者机构:广西医学科学院∙广西壮族自治区人民医院健康管理中心,南宁市 530021

基金信息:广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20230092) 通信作者:李卫

DOI:10.16121/j.cnki.cn45-1347/r.2025.02.09

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  • 参考文献

目的 探讨健康体检人群幽门螺杆菌(H. pylori)感染与血脂、尿酸(UA)等代谢指标的相关性。方法 将1 093例健康体检者作为研究对象,根据H. pylori感染情况将其分为H. pylori阳性组和H. pylori阴性组。比较两组性别、年龄等一般资料和总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、a-L-岩藻糖苷酶(AFU)、总胆红素(T-BiL)、总胆汁酸(TBA)、UA、血尿素氮(BUN)水平;应用logistic回归分析法探究H. pylori感染的危险因素。结果 1 093例健康体检者中,H. pylori阳性者共258例,感染率为23.60%。H. pylori阳性组中女性占比高于H. pylori阴性组(P<0.05),H. pylori阳性组的年龄、TC、LDL-C水平均高于H. pylori阴性组(均P<0.05);两组BMI,以及UA、BUN、TG、AFU、T-BiL、TBA水平差异均无统计学意义(均P>0.05)。logistic回归分析结果提示,年龄和性别均是H. pylori感染的独立危险因素(均P<0.05)。结论 H. pylori感染与性别和年龄有关,H. pylori感染后影响血脂代谢,但对UA、T-BiL、TBA的代谢无影响。

Objective To investigate the correlations between Helicobacter pylori (H. pylori) infection and metabolic indicators such as blood lipids and uric acid (UA) in a healthy physical examination population. Methods A total of 1,093 healthy individuals undergoing physical examinations were enrolled as research subjects and divided into an H. pylori-positive group or an H. pylori-negative group according to the H. pylori infection. General data (e.g., sex, age) and levels of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), α-L-fucosidase (AFU), total bilirubin (T-BiL), total bile acid (TBA), UA, and blood urea nitrogen (BUN) were compared between the two groups; logistic regression analysis was used to identify risk factors for H. pylori infection. Results Among the 1,093 healthy individuals undergoing physical examinations, 258 were H. pylori-positive, showing an infection rate of 23.60%. The H. pylori-positive group had a higher proportion of females, greater age, and elevated levels of TC and LDL-C compared with the H. pylori-negative group (all P<0.05). No statistically significant difference was observed in BMI or level of UA, BUN, TG, AFU, T-BiL, or TBA between the two groups (all P>0.05). Logistic regression analysis identified age and gender as independent risk factors for H. pylori infection (all P<0.05). Conclusion H. pylori infection is correlated with gender and age. While H. pylori infection influences lipid metabolism, it has no effect on UA, T-BiL, or TBA metabolism.

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