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淮安市部分事业单位职工甲状腺结节的筛查情况分析 被引量:5

Analysis of the detection of thyroid nodules among the institution stuff in Huai'an
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摘要 目的探讨我市部分事业单位人员甲状腺结节的检出情况及相关可能的影响因素。方法对2016年期间在我院体检的4 404名事业单位人员进行结果统计,收集年龄、性别、甲状腺超声结果、血生化分析、甲状腺激素水平等。结果4 404人中有1 748人筛查出甲状腺结节,检出率为39.7%(其中男性甲状腺结节的检出率为30.9%,女性检出率为48.1%)。随着年龄的增长,甲状腺结节的检出率增加,女性发生甲状腺结节的比例高于男性(P<0.05)。甲状腺结节组的空腹血糖、收缩压、甘油三酯均高于非结节组,甲状腺结节组的FT3水平低于非结节组(P<0.05)。结论年龄、性别、空腹血糖升高、收缩压升高、甘油三酯增高及FT3水平降低与甲状腺结节的发生有密切联系,对于女性、高血压、空腹血糖升高、甘油三酯增高及甲状腺激素水平异常的人群,应规律行甲状腺彩超检查,做到早发现、早治疗。 Objective To investigate the prevalence of thyroid nodules among the institution stuff in our city,and analysis the possible influence factors. Methods The physical examination results of 4 404 institution stuff tested in our hospital during 2016 were collected. The main contents included age,gender,ultrasonographic data of thyroid,blood biochemical results,thyroid hormone,etc. Results Thyroid nodules were detected in 1 748 of4 404 institution stuff,the detect rate was 39. 7%(30. 9 % in man,and 48. 1% in woman),the prevalence of thyroid nodules increased with age increased(P〈0. 05),and more cases were found in females than males(P〈0. 05). The group which had thyroid nodules had higher fasting plasma glucose(FPG),triglyceride(TG) and systolic pressure(SBP),but had lower FT3 than the group without thyroid nodules(P〈0. 05). Conclusion Age,gender,elevated fasting plasma glucose,elevated systolic blood pressure,elevated triglycerides,and decreased FT3 levels were closely associated with occurrence of thyroid nodules. For women,people with high blood sugar,high blood pressure and abnormal thyroid hormone level should do regular physical examination for early discovery and early treatment of thyroid nodules.
作者 夏静静 李红 吉雅玲 米灿 陈桂莲 李萍 Xia Jingjing;Li Hong;Ji Yaling;Mi Can;Chert Guilian;Li Ping(Department of Medical Examination,Huai' an First People' s Hospital,Nanjing Medical University,Huai' an Jiangsu 223300,China)
出处 《遵义医学院学报》 2018年第4期469-472,共4页 Journal of Zunyi Medical University
关键词 甲状腺结节 影响因素 淮安事业单位职工 thyroid nodules influence factors institution stuff in Huai' an
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