摘要
目的:探讨驻村干部的甲状腺功能异常筛查情况,并分析甲状腺异常的影响因素。方法:选取驻村干部496例进行甲状腺功能筛查,统计甲状腺功能异常情况,按照有无甲状腺功能异常分为甲状腺功能异常组和甲状腺功能正常组。比较两组临床资料和甲状腺激素水平,并分析甲状腺功能异常的影响因素。结果:甲状腺功能异常83例,发生率为16.73%。甲状腺功能异常组年龄、性别、体质量指数(BMI)、文化程度、血压、血脂、吸烟、饮酒与甲状腺功能正常组比较,均无统计学意义(P﹥0.05),甲状腺功能异常组碘盐摄入、甲状腺疾病家族史、血压与甲状腺功能正常组比较,均有统计学意义(P<0.05)。甲状腺功能异常组三碘甲状腺原氨酸(T3)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)与甲状腺功能正常组比较,均无统计学意义(P﹥0.05),甲状腺功能异常组四碘甲状腺原氨酸(T4)与甲状腺功能正常组比较,明显较高(P<0.05),甲状腺功能异常组促甲状腺激素(TSH)与甲状腺功能正常组比较,明显较高(P<0.05)。经二元Logistic回归分析,非碘盐摄入、甲状腺疾病家族史、高TSH是甲状腺功能异常的危险因素(P<0.05)。结论:驻村干部的甲状腺功能异常发生率较高,其发生和非碘盐摄入、甲状腺疾病家族史、高TSH有关。
Objective:To investigate the screening of thyroid dysfunction in village cadres and analyze the influencing factors of thyroid dysfunction.Methods:496 cases of resident village cadres were selected for thyroid function screening,and thyroid function abnormalities were counted.They were divided into thyroid function abnormality group and non-thyroid function abnormality group according to the presence or absence of thyroid function abnormality.Clinical data and thyroid hormone levels of the two groups were compared,and the influencing factors of thyroid function abnormality were analyzed.Results:83 cases with abnormal thyroid function(16.73%).There was no significant difference in age,sex,body mass index(BMI),education level,abnormal blood pressure,dyslipidemia,smoking,drinking in the abnormal thyroid function group compared with the non-abnormal thyroid function group(P>0.05).Compared with the non-abnormal thyroid function group,iodine salt intake,family history of thyroid disease,abnormal blood pressure and non-abnormal thyroid function group were compared.There were statistical significance(P<0.05).There was no statistical significance in triiodothyronine(T3),free triiodothyronine(FT3)and free tetriodothyronine(FT4)between the abnormal thyroid function group and the non-abnormal thyroid function group(P>0.05),while the abnormal thyroid function group and the non-abnormal thyroid function group were compared.The thyroid stimulating hormone(TSH)in the abnormal thyroid function group was significantly higher than that in the non-abnormal thyroid function group(P<0.05).Binary Logistic regression analysis showed that non-iodized salt intake,family history of thyroid disease and high TSH were risk factors for thyroid dysfunction(P<0.05).Conclusion:The incidence of abnormal thyroid function in village cadres is high,which is related to non-iodized salt intake,family history of thyroid disease and high TSH.
作者
李登锐
LI Dengrui(Yinjiang Autonomous County People's Hospital Medical Laboratory Department,Yinjiang 555200,China)
出处
《黑龙江医药科学》
2024年第1期133-136,共4页
Heilongjiang Medicine and Pharmacy
关键词
驻村干部
甲状腺功能
碘盐
影响因素
resident village cadres
thyroid function
iodized salt
influencing factor
