摘要
目的调查体检成人甲状腺结节检出情况,分析其影响因素。方法选取2019年1-12月在襄阳市中西医结合医院体检科进行体检的2955名18岁以上的人群为研究对象,进行甲状腺超声、身高、体重、血压及肝肾功能检查,分析其甲状腺结节的检出情况及相关因素。结果在2955例受检者中,838名(28.4%)检出甲状腺结节,其中男性检出率为23.9%(570/2382),女性检出率为46.8%(268/573),男女差异有统计学意义(χ^(2)=118.62,P<0.05)。甲状腺结节检出率随着年龄的增长呈递增趋势(χ趋势2=108.64,P<0.05)。各年龄组中女性甲状腺结节检出率均高于男性,其中30~39岁、40~49岁、≥50岁年龄组性别差异均有统计学意义(χ^(2)值分别为21.31、31.68、14.41,P均<0.05)。甲状腺结节阳性组的体质指数、收缩压水平、舒张压水平、总胆固醇水平、甘油三酯水平及血糖水平均高于阴性组,差异有统计学意义(t值分别为3.37、8.20、5.93、6.66、3.89、6.30,P均<0.05);阳性组的血尿酸水平低于阴性组,差异有统计学意义(t=2.54,P<0.05)。结论甲状腺结节发生率与肥胖、高血压、高血脂、高血糖等多种因素有关,应加强健康教育,有效控制体质指数、血压水平、血脂水平及血糖水平,以预防甲状腺结节的发生。
Objective To explore the prevalence and risk factors of thyroid nodules.Methods 2955 people over 18 years of age who underwent medical examination in Xiangyang Hospital of Integrated Traditional Chinese and Western Medicine from January to December 2019 were selected as the research subjects.Thyroid ultrasound examination,measurements for height,weight and blood pressure,liver and kidney function tests were performed to analyze thyroid nodules detection rate and related factors.Results Among the 2955 subjects,838(28.4%)who were detected had thyroid nodules;the detection rate of thyroid nodules was 23.9%(570/2382)in males,and 46.8%(268/573)in females,and their difference was statistically significant(χ^(2)=118.62,P<0.05).The detection rate of thyroid nodules increased with the age(χtrend2=108.64,P<0.05).In all age groups,the detection rates of thyroid nodules in females were higher than those in males.Among them,differences for detection rates in the groups of 30-39,40-49,and≥50 years old between sex were all statistically significant(χ^(2)=21.31,31.68,14.41,All P<0.05).Body mass index,systolic blood pressure level,diastolic blood pressure level,total cholesterol level,triglyceride level and blood glucose level in thyroid nodules group were statistically significantly higher than those in non-thyroid nodules group(t=3.37,8.20,5.93,6.66,3.89,6.30,All P<0.05);blood uric acid level in thyroid nodules group was statistically significantly lower than that in non-thyroid nodules group(t=2.54,P<0.05).Conclusion The incidence of thyroid nodules is related to various factors such as obesity,high blood pressure,hyperlipidemia,and hyperglycemia.Health education should be strengthened to effectively control the body mass index,blood pressure level,blood lipid level and blood glucose level to prevent the prevalence of thyroid nodules.
作者
李海蓉
姚岩
张琪
YAO Yan;LI Hairong;ZHANG Qi(Department of Health Examination,Xiangyang Hospital of Integrated Traditional Chinese and Western Medicine,Xiangyang,Hubei 441000,China)
出处
《河南预防医学杂志》
2021年第3期194-196,共3页
Henan Journal of Preventive Medicine
关键词
健康体检
甲状腺结节
患病率
相关因素
Medical examination
Thyroid nodules
Prevalence
Risk factors
