摘要
目的 了解健康体检者甲状腺功能的异常情况,为减少甲状腺疾病的发生提供参考。方法 选择401例健康体检者作为调查对象,收集其甲状腺检查及实验室甲状腺功能检测数据,对其甲状腺功能异常情况进行统计分析。结果 共检出甲状腺功能异常17例,检出率为4.2%,其中甲状腺功能亢进症(甲亢)和亚临床甲亢的检出率分别为0.5%(2/401)、2.2%(9/401);甲状腺功能减退症(甲减)和亚临床甲减的检出率分别为0(0/401)、1.5%(6/401)。亚临床甲状腺疾病检出率[3.7%(15/401)]高于临床甲状腺疾病检出率[0.5%(2/401)],比较差异有统计学意义(χ^(2)=10.156, P=0.001<0.05)。女性临床甲状腺疾病检出率[0.4%(1/226)]低于男性[0.6%(1/175)],亚临床甲状腺疾病检出率[4.4%(10/226)]高于男性[2.9%(5/175)]。女性临床甲亢患病率以40~49岁最高,男性临床甲亢患病率以20~29岁最高。女性亚临床甲亢患病率以30~39岁、40~49岁最高,男性亚临床甲亢患病率以40~49岁最高。女性亚临床甲减患病率以30~39岁、≥70岁最高,男性亚临床甲减患病率以40~49岁最高。结论 健康体检者甲状腺功能异常检出率随年龄升高而增加,以亚临床甲状腺疾病为主,且女性患病率较高。
Objective To understand the abnormal thyroid function of healthy subjects,so as to provide reference for reducing the occurrence of thyroid diseases.Methods 401 healthy subjects were selected as investigation subjects,and the data of thyroid examination and laboratory thyroid function test were collected,and the abnormal thyroid function was statistically analyzed.Results 17 patients with abnormal thyroid function were detected,the detection rate was 4.2%.The detection rates of hyperthyroidism and subclinical hyperthyroidism were 0.5%(2/401)and 2.2%(9/401).The detection rates of hypothyroidism and subclinical hypothyroidism were 0(0/401)and 1.5%(6/401).The detection rate of subclinical thyroid disease[3.7%(15/401)]was higher than that of thyroid disease[0.50%(2/401)].The difference was statistically significant(χ^(2)=10.156,P=0.001<0.05).The detection rate of clinical thyroid disease in women[0.4%(1/226)]was lower than that in men[0.6%(1/175)],and the detection rate of subclinical thyroid disease[4.4%(10/226)]was higher than that in men[2.9%(5/175)].The prevalence of clinical hyperthyroidism was highest in women aged 40-49 years,and the prevalence of clinical hyperthyroidism was highest in men aged 20-29 years.The prevalence of subclinical hyperthyroidism was highest in women aged 30-39 and 40-49 years,and the prevalence of subclinical hyperthyroidism was highest in men aged 40-49 years.The prevalence of subclinical hypothyroidism was highest in women aged 30-39 years and≥70 years,and the prevalence of subclinical hypothyroidism was highest in men aged 40-49 years.Conclusion The detection rate of thyroid dysfunction in healthy check-ups increases with age,mainly subclinical thyroid disease,and the prevalence rate is higher in women.
作者
岳影
赵金凤
李婕
刘晓敏
王鹏飞
崔雯
YUE Ying;ZHAO Jin-feng;LI Jie(Department of Clinical Laboratory,Beijing Jingmei Group General Hospital,Beijing 102300,China)
出处
《中国实用医药》
2024年第13期89-91,共3页
China Practical Medicine
关键词
甲状腺疾病
体检
分析
Thyroid disease
Physical examination
Analysis
