摘要：目的 了解杭州地区服务业职工幽门螺杆菌感染现状及其影响因素，为杭州地 区服务业职工人群预防幽门螺杆菌感染提出健康管理建议及为同类研究的开展提供参考。 方法 采用文献检索法、专家咨询法、统计分析法及多阶段抽样等方法，从解放军杭州疗养 院 2016 年体检数据中有幽门螺杆菌检测项目的杭州地区服务业职工中随机抽取不同类型服 务业职工共 600 例，导出研究所需人口学及健康体检等相关数据进行分析。 结果 杭州地 区服务业职工幽门螺杆菌感染率为 36。7%； 二元 logistic 回归发现地区差异、单位类型差 异、BMI、吸烟情况为幽门螺杆菌感染的独立影响因素；地区分组中，淳安、建德、临安、 桐庐的幽门螺杆菌感染率较高； 单位类型分组中，商业饮食业幽门螺杆菌感染阳性率最高， 是幽门螺杆菌感染的独立危险因素； BMI 越高，幽门螺杆菌感染风险越高； 吸烟人群幽门 螺杆菌感染风险高于不吸烟人群； 而性别、年龄、饮酒情况、身高、体重、SBP、DBP、FPG、 TC、TG、HDL、LDL、T3、T4 、TSH 及口腔健康状况均不是幽门螺杆菌感染的独立影响因素。 结论 杭州地区服务业职工幽门螺杆菌感染率较低，但仍有降低空间；其高危人群可通过控 制危险因素（地区政府行动、医务工作者宣传、自身定期检测、控制体重、合理戒烟等方式） 有效预防幽门螺杆菌感染。88216

毕业论文关键词：杭州地区； 服务业； 幽门螺杆菌；健康管理

Abstract Abstract: Objective To understand the helicobacter pylori infection and the influence factors of services worker in Hangzhou, put forward health management Suggestions preventing the helicobacter pylori infection for services worker in Hangzhou and provide a reference for  similar  research。  Method  Adopt  the literature retrieval method, expert consultation method, statistical analysis and multistage sampling, randomly drawing sample of various types of services staff a total of 600 cases from the physical examination data of 2016 in  Hangzhou sanatorium of people's liberation army, export and analyze relevant data such as demographic and health physical examination。 Results The helicobacter pylori infection positive rate of Hangzhou services worker is 36。7%; Binary logistic regression find that regional differences, unit type differences, BMI and smoking condition  are  independent  influences  of  helicobacter  pylori  infection;       regional

grouping Hp infection rates of Chunan、Jiande、Linan、Tonglu are higher; unit type

group Hp infection rate of commercial catering services is  highest,  as independent risk factors for Hp infection; the higher the BMI, the higher the risk of Hp infection; smokers are at higher risk of infection than non-smokers; but gender, age, whether drinking , height, weight, SBP, DBP, FPG, TC, TG, HDL, LDL, T3, T4 , TSH are not the  independent  influence  factors  of  Hp  infection。  Conclusion  Helicobacter pylori infection of services worker in Hangzhou is lower than most areas including at home and abroad, but there is still room for depressing; the high risk population of services worker in Hangzhou can prevent helicobacter pylori infection by control risk factors, such as government action, medical workers propaganda, self timing detection, weight control, quit smoking and so on。

目 录

1。引言 6

1。1 背景 6

1。2 目的