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福建省胃癌中低发地区居民血清胃蛋白酶原亚群、胃泌素-17和幽门螺杆菌感染水平分布特征及影响因素

Distributing Characteristics and Their Influencing Factors of Serum Pepsinogens,Gastrin-17,Helicobacter Pylori Infection in Residents in Medium-Low Incidence with Gastric Cancer in Fujian

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【作者】 陈铁晖郑奎城林曙光钟文玲李晓庆林修全林熙胡祥炬苏畅林丹黄少芬戴龙陈仁忠林嵩

【Author】 CHEN Tie-hui;ZHENG Kui-cheng;LIN Shu-guang;Fujian Center for Disease Control and Prevention;

【机构】 福建省疾病预防控制中心厦门市疾病预防控制中心同安区疾病预防控制中心福安市疾病预防控制中心

【摘要】 [目的]了解福建省胃癌中低发地区居民血清PGⅠ、PGⅡ、G-17和Hp感染水平分布特征,探讨用上述血清学标志物筛查高危人群的可能性。[方法]在同安区和福安市随机抽取调查对象进行问卷调查,检测血清PGⅠ、PGⅡ、G-17和Hp感染水平。[结果]PGⅠ水平呈明显的性别、年龄、地区分布差异,PGⅡ、PGⅠ/PGⅡ水平呈明显的地区分布差异。不同Hp感染状态下PGⅠ、PGⅡ、PGⅠ/PGⅡ、G-17水平呈明显差异(P均<0.05)。Logistic回归分析未发现影响PGⅠ、PGⅠ/PGⅡ水平异常的因素,但G-17水平异常的危险因素为Hp感染(OR=2.656)和中年年龄(OR=2.114)。[结论]PGⅠ、PGⅡ、G-17筛查胃癌高危人群具有较广阔的前景。

【Abstract】 [Purpose] To investigate the distributing characteristics of serum PGⅠ,PGⅡ,G-17 and Hp infection in residents in areas with medium-low incidence of gastric cancer in Fujian,and the possibility of using serum markers screening high-risk groups. [Methods] The person being investigated randomly from Tongan district and Fuan city received the interview questionnaires and were detected serum PGⅠ,PGⅡ,G-17,Hp detection. [Results] PGⅠ level showed significant differences in gender,age,region distribution. PGⅡ,PGⅠ/ PG Ⅱ level also showed significant difference in region distribution. PGⅠ,PGⅡ,PGⅠ/PGⅡ,G-17 level were significantly different between positive Hp infection and negative Hp infection(all P<0.05). Logistic regression analysis showed no factor caused abnormal levels of PGⅠ,PGⅠ/PGⅡ,but Hp infection(OR=2.656) and middle aged(OR= 2.114) were high risks for G-17 abnormal levels. [Conclusion] PG Ⅰ,PG Ⅱ,G-17 have a broad prospect of screening for high-risk population with gastric cancer.

【基金】 国家卫生计生委共建科学基金——福建省卫生教育联合攻关计划项目(WKJ-FJ-18)
  • 【分类号】R735.2
  • 【被引频次】7
  • 【下载频次】197
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