军队师职干部甲状腺结节患病调查及影响因素分析  

Analysis of Prevalence and Influencing Factors of Thyroid Nodule in Army Division-level Cadre

作　　者：蒋文[1] 张春霞[1] 张迪[1] 

机构地区：[1]广州军区武汉总医院体检中心,湖北武汉430070

出　　处：《华南国防医学杂志》2015年第10期758-760,共3页Military Medical Journal of South China

摘　　要：目的了解军队中高级干部甲状腺结节的患病率,探讨其影响因素及流行病学特征,为对其进行有效的预防提供临床依据。方法对某部219名师职干部进行甲状腺彩色超声检查及相关资料问卷调查,在此基础上,对超声结果及人口学资料进行整理分析。结果 1人口学资料：219名受检师职干部中,男性192人（87.7%）,女性27人（12.7%）;年龄42-98（63.56±14.59）岁,其中,40-49岁37人,50-59岁66人,60-69岁22人,70-79岁11人,80-89岁40人,90-98岁16人;大学本科及以上学历者178名（81.28%）,大学专科及以下学历者41名（18.72%）;生活嗜好中,嗜咸者23人,嗜海产品者30人。2超声检测结果：甲状腺结节检出率为71.69%（157/219）,其中女性检出率为92.59%（25/27）,男性检出率为68.75%（132/192）,女性高于男性（χ2=6.63,P〈0.05）;甲状腺实性结节占49.04%（77/157）,囊性结节占28.57%（44/157）,混合性结节占23.38%（36/157）,实性结节居多;大学本科及以上学历背景者结节检出率占本群体的87.01%（134/178）,大学专科及以下者占本群体的56.09%（23/41）,两者比较本科及以上学历群体检出率高于专科及以下学历群体,差异具有统计学意义（χ2=6.04,P〈0.05）。结论甲状腺结节的患病率呈现普发性,应高度重视,加强防治;实体性结节多发;与年龄、学历呈正相关,随着年龄、学历的增高,检出率越高;女性高于男性;具有嗜咸或海产品生活习惯者高发,与生活习惯密切相关。Objective To understand the prevalence of thyroid nodules,related influencing factors and epidemic characteristics in order to make effective control and provided clinical evidence prevention.Methods Thyroid ultrasonography and clinical data from219 division-level cadres who received thyroid ultrasound examination and questionnaire were analysed.Results 1Demographics：of the 219 people,there were 192 men,accouting for 87.7%;27 women,accouting for12.7%;The age was from42 years to 98 years old（63.56±14.59）;40 to 49 years old 37 cases,50 to 59 years with66 cases,60 to 69 years with22 cases,70 to 79 years with11 cases,80 to 89 years with40 cases,90 to 99 years with16 cases;with bachelor degree or above（including bachelor degree）178,41 under college degree.There were 23 people who were indulge in high-salt diets and 30 seafood addicts.2The result of thyroid ultrasound：the total detection rate of thyroid nodules was 71.69% in army division-level cadres.The detection rate of males was 68.75%（132/192）,and females was81.48%（25/27）.The thyroid solid nodules accounted for 49.04%（77/157）,the cystic nodules accounted for 28.57%（44/157）,and the mixed accounted for 23.38%（36/157）.Thyroid nodules detection the bachelor＇s degree or above accounted for87.01%（134/178）,56.09%（23/41）of under college degree rate of.Conclusion The thyroid nodules are prevalent disease,should attach great importance to and strengthen the prevention and control;there was positive correlation between prevalence and age,education;The prevalence was higher for women than men;the prevalence of thyroid nodules happens more frequently in high-salt and seafood addict.

关 键 词：军队师职干部 甲状腺结节 患病率 影响因素 

分 类 号：R335.2[医药卫生—人体生理学]