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中国家庭幽门螺杆菌感染防治策略
赖永康,周显祝,杜奕奇,李兆申*
0
(海军军医大学(第二军医大学)第一附属医院消化内科, 上海 200433
*通信作者)
摘要:
幽门螺杆菌(H. pylori)感染是胃癌最重要的可控危险因素,根除H. pylori是我国胃癌防控的必经之路。以家庭为单位进行H. pylori感染筛查与治疗是切实符合我国国情的H. pylori感染管理和控制策略。该策略具有更高的H. pylori根除成功率与更低的复发率,同时具有更好的效益成本比,无论在H. pylori高感染地区还是低感染地区均适合推行。在此策略的指导下,我国的胃癌防控工作必将更加精准、高效、全面,为全球胃癌防控工作提供可推广的“中国方案”。
关键词:  幽门螺杆菌  家庭感染  根除治疗  胃肿瘤  防治策略
DOI:10.16781/j.CN31-2187/R.20240812
投稿时间:2024-12-02修订日期:2024-12-25
基金项目:
Family-based strategy for prevention and control of Helicobacter pylori infection in China
LAI Yongkang,ZHOU Xianzhu,DU Yiqi,LI Zhaoshen*
(Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Helicobacter pylori (H. pylori) infection is the most significant controllable risk factor for gastric cancer, and its eradication is a critical component of gastric cancer prevention in China. A family-based screening and treatment strategy for H. pylori aligns well with China’s public health needs. It demonstrates higher eradication success rate, lower recurrence rate, and superior cost-effectiveness, making it suitable for both high- and low-prevalence regions. Implementation of this family-based strategy can lead to greater precision, higher efficiency, and overall coverage in gastric cancer prevention in China, offering a scalable “China model” for global gastric cancer control.
Key words:  Helicobacter pylori  family infection  eradication therapy  gastric neoplasms  prevention and control strategies