苏州两所幼儿园儿童感染幽门螺杆菌的危险因素及口腔清洁措施对降低口腔幽门螺杆菌感染的作用
Risk factors of oral Helicobacter pylori infection among children in two kindergartens in Suzhou and the effects of oral cleaning on reducing oral Helicobacter pylori infection
作者：徐月娥,李淑湘,高鑫,汪宪平
Author：Yuee Xu,Shuxiang Li,Xin Gao,Xianping Wang
收稿日期：2018-05-05 年卷（期）页码：2019,37(1):70-70-75
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：幽门螺杆菌,学龄前儿童,危险因素,口腔健康,
Key words：Helicobacter pylori,preschool children,risk factors,oral health,
基金项目：
中文摘要
目的 了解学龄前儿童口腔幽门螺杆菌感染的危险因素,为幽门螺杆菌感染的预防提供积极有效的口腔清洁措施,降低幽门螺杆菌感染率。方法 选择苏州市两所幼儿园的儿童204例,进行问卷调查,通过单因素配对资料卡方检验及多因素Logistic回归分析筛选出危险因素;采用幽门螺杆菌唾液检测试剂（HPS）方法和 13C-尿素呼气试验（ 13C-UBT）检测口腔和胃幽门螺杆菌感染;选择抑制幽门螺杆菌的专用牙膏进行口腔清洁,2个月后用HPS方法复查口腔幽门螺杆菌感染。结果 儿童的个人卫生如爱啃手指、爱啃玩具、饭前便后不常洗手;照养人的带养方式如咀嚼食物喂养、使用自己的筷子喂食、经常亲吻幼儿、饭前不常洗手;父母胃病史等为学龄前儿童幽门螺杆菌感染的危险因素。204例儿童中HPS阳性158例（占77.45%）, 13C-UBT阳性37例（占18.14%）,HPS与 13C-UBT均阳性28例（占13.73%）,口腔幽门螺杆菌感染显著高于胃内幽门螺杆菌感染（PP结论 教育儿童从小养成良好的卫生习惯,实行家庭分餐制或应用公筷,尽早发现幽门螺杆菌感染并定期选择专用牙膏进行口腔清洁,对预防幽门螺杆菌感染具有重要意义。
英文摘要
ObjectiveThis work aimed to identify the risk factors ofHelicobacter pylori(H. pylori) infection in preschool children and provide effective measures for the prevention and reduction of the incidence ofH. pyloriinfections.MethodsA total of 204 children from two kindergartens in Suzhou city were recruited through a questionnaire survey. Risk factors were selected through the single factor paired dataχ2test and multiple factor Logistic regression analysis. Oral and gastricH. pyloriinfections were detected by usingH. pylorisaliva detection (HPS) and13C-urea breath test (13C-UBT). Special toothpaste forH. pyloricontrol was selected for oral cleaning. OralH. pyloriinfection rates at 2 months after special toothpaste treatment were examined by using HPS.ResultsThe high-risk factors ofH. pyloriinfections among preschool children included poor personal hygiene habits, such as the nibbling of fingers and the avoidance of hand-washing before meals, diet, and parent’s history of stomach disease. Among the 204 subjects enrolled in this study, 158 (77.45%), 37 (18.14%), and 28 (13.73%) were HPS positive,13C-UBT positive, and HPS and13C-UBT positive, respectively. The incidence of oralH. pyloriinfections was significantly higher than that of gastricH. pyloriinfections (PPConclusionChildren must receive education on good eating habits. Individualized dining habits or the use of public chopsticks must be implemented.H. pyloriinfections must be detected as early as possible. Specific toothpaste for oral cleaning must be selected. These approaches could drastically prevent or reduce the incidence ofH. pyloriinfections among preschool children.
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