石家庄市不同职业人群甲状腺结节的检出率及其特征研究  

Study on Detection Rate and Its Characteristics of Thyroid Nodules of Different Occupations in Shijiazhuang

作　　者：王俊明[1] 郝志华[1] 陈春彦[1] 唐龙妹[2] 李岩[1] 张翼飞[3] 杨彦君[1] 申彩丽[1] 陈晶[1] 马杰 

机构地区：[1]河北省人民医院体检中心,河北省石家庄市050051 [2]河北医科大学统计学教研室 [3]河北省人民医院质控中心 [4]河北省卫生监督局

出　　处：《中国全科医学》2012年第36期4193-4195,4199,共4页Chinese General Practice

基　　金：河北省2008年医学科学研究重点课题计划(08017)

摘　　要：目的了解石家庄市不同职业人群甲状腺结节的检出率及其特征。方法选择2011年3—11月在我院体检中心进行甲状腺超声检查的医务人员、大学教职工、公安干警3种不同职业的人群6 794名为研究对象,应用彩色超声多普勒诊断仪进行甲状腺超声检查。观察3种不同职业人群甲状腺结节检出率,3种不同职业人群不同性别、不同年龄组间甲状腺结节检出率的差别以及3种不同职业人群甲状腺结节的性质。结果 6 794名受检者检出甲状腺结节3 626例,检出率为53.37%,医务工作者、大学教职工、公安干警的检出率分别为65.80%、55.15%、43.15%。3种不同职业人群甲状腺结节检出率比较,差异有统计学意义(χ2=228.173,P=0.000)。医务工作者、大学教职工、公安干警男性和女性人群甲状腺结节检出率比较,差异均有统计学意义(P<0.05)。3种不同职业的<30岁和≥70岁人群甲状腺结节检出率比较,差异均无统计学意义(P>0.05);30～岁、40～岁、50～岁、60～岁人群甲状腺结节检出率比较,差异均有统计学意义(P<0.05)。3 626例甲状腺结节患者,其中单侧1 716例(47.32%),双侧1 910例(52.68%);单发1 956例(53.94%),多发1 670例(46.06%);小结节2 887例(79.62%),中结节685例(18.89%),大结节54例(1.49%);结节钙化216例(5.96%)。医务工作者、大学教职工、公安干警甲状腺结节位置比较,差异有统计学意义(P<0.05);个数、大小及结节钙化率比较,差异均无统计学意义(P>0.05)。结论甲状腺结节总体人群检出率高,不同性别、不同年龄的不同职业人群甲状腺结节检出率不同,医务工作者的甲状腺结节检出率高于其他两个职业;甲状腺结节以小结节为主,结节性质不受职业影响,在健康体检中普及甲状腺超声检查对甲状腺疾病的早期防治具有重要意义。Objective To investigate the detection rate and its characteristics of thyroid nodules of different occupa- tions in Shijiazhuang. Methods 6 794 people of three different occupations including medical staff, university faculty and public security police who had underwent thyroid ultrasonography in the Medical Examination Center of Hebei General Hospital from March to November 2011 were included as study objects. Color Doppler ultrasonic diagnostic imaging was used to inspect thy- roid. The prevalence of thyroid nodules of the three occupations and of people with different genders and ages were ob- served. Properties of nodules were also observed. Results Of the 6 794 people, 3 626 were positive for thyroid nodules with a de- tection rate of 53.37%. The detection rate of medical staff, university faculty and public security police was respectively 65.80%, 55.15% and 43.15%. The difference of detection rate between the three occupations was statistically significant （χ2 =228. 173, P =0. 000） . The detection rate between different genders among the three occupations also showed statistically sig- nificant difference （P 〈 0. 05 ） . The detection rate of people 〈 30 and people 〉170 of the three occupations showed no statistically significant difference （P 〉 0. 05）. But the detection rate between people in their 30 - , 40 - , 50 - and 60 - showed statisti- cally significant differences （P 〈 0. 05） . Among the 3 626 patients with thyroid nodules, 1 716 cases were unilateral （47.32%） and 1 910 cases were bilateral （52. 68% ） ; 1 956 cases were single （53.94%） and 1 670 cases were multiple （46. 06% ） ; 2887 cases were small nodules （79. 62% ）, 685 cases were medium nodules （ 18.89% ） and 54 cases were large nodules （ 1.49% ） ;216 cases had calcified nodules （5.96%） . The nodules location between the three occupations showed statistically significant differences （P 〈 0. 05 ）, but the number, size and calcified rate showed no statistically significant differen

关 键 词：甲状腺结节 患病率 石家庄市 

分 类 号：R581[医药卫生—内分泌]