【摘要】 目的 探讨滨州市体检居民胃部病变与Hp感染的相关性。方法 选择滨州市体检高危人群2 929例，进行胃镜检查、C¹⁴尿素呼气试验及胃组织病理检查，筛查Hp感染情况。结果 在体检人群中，男性1 604人，Hp感染728人；女性1 325人，Hp感染469人，感染率分别为45.39%和35.40%,差异有统计学意义（P<0.01）。男性胃部疾病患者中Hp感染人数由高到低依次是萎缩性胃炎、萎缩性胃炎伴糜烂、胃部息肉、非萎缩性胃炎、非萎缩性胃炎伴糜烂，女性胃部疾病患者中Hp感染人数由高到低依次是萎缩性胃炎、胃部息肉、萎缩性胃炎伴糜烂、非萎缩性胃炎。男、女性萎缩性胃炎、非萎缩性胃炎、萎缩性胃炎伴糜烂者HP感染率差异均有统计学意义（均P<0.01）。Hp感染高发年龄段45～60岁，感染率40.92%～45.81%,不同年龄组间Hp感染率差异有统计学意义（P<0.01）;结论 滨州市体检人群Hp感染率男性高于女性，45～60岁为高感染人群，且多种胃部疾病与Hp感染有关联。更多还原

【Abstract】 Objective The article explores the correlation between gastric lesions and Helicobacter pylori infection through the physical examination reports of residents in Binzhou. Methods 2 929 high-risk people in Binzhou were selected for gastroscopy, C¹⁴ urea breath test and histopathological examination to screen for HP infection. Results In the physical examination reports, there are 1 604 males and 728 Hp infections; 1 325 females and 469 Hp infections, the infection rates are 45.39% and 35.40%,respectively, the difference is statistically significant（P<0.01）. The Hp infection rates in male patients with gastric disease from high to low are atrophic gastritis, atrophic gastritis with erosions, gastric polyps, non-atrophic gastritis, non-atrophic gastritis with erosions. The Hp infection rates in female patients with gastric disease from high to low are atrophic gastritis, gastric polyps, atrophic gastritis with erosion, and non-atrophic gastritis. There are statistically significant differences in the HP infection rates between males and females with atrophic gastritis, non-atrophic gastritis, and atrophic gastritis with erosions（all P<0.01）. The high incidence of Hp infection is 45 to 60 years old, and the infection rate is 40.92% to 45.81%. There is a statistically significant difference in the Hp infection rate among different age groups（P<0.01）. Conclusion The prevalence of Hp infection in the physical examination population in Binzhou is higher in males than in females, and the population aged 45-60 is a high-infection population, and a variety of gastric diseases are associated with Hp infection.更多还原