核电作业人员甲状腺结节超声检查结果分析  

Analysis of results of ultrasound examination of thyroid nodules in nuclear power workers

作　　者：王夺 闫雪 刘军杰[1] 丁战玲[1] 李航[1] 朱林平[2] Wang Duo;Yan Xue;Liu Junjie;Ding Zhanling;Li Hang;Zhu Linping(Departments of Ultrasound, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China;Guangxi Academy of Occupational Disease Prevention and Control, Nanning 530021, China)

机构地区：[1]广西医科大学附属肿瘤医院超声科,南宁530021 [2]广西壮族自治区职业病防治研究院,南宁530021

出　　处：《中华劳动卫生职业病杂志》2019年第8期601-605,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2017002);广西卫计委计划课题(Z2015571).

摘　　要：目的调查核电作业人员甲状腺结节的检出情况及相关危险因素,并为核电作业人员的甲状腺疾病防护提供科学依据.方法于2018年12月,选择某核电生产企业核电作业人员295名以及该企业行政后勤工作人员238名,并选择距离该企业70公里外的与核电生产企业工作模式类似的某火力发电企业250名工作人员作为对照组.对调查对象进行甲状腺超声检查及问卷调查,进行单因素分析并进一步行多因素logistic回归分析,研究人群甲状腺结节患病的危险因素.结果女性和吸烟史是研究人群甲状腺结节发病率升高的独立危险因素(OR=2.561、2.530,95%CI=1.774~3.698、1.706~3.754,P<0.01);三班倒工作是核电作业人员甲状腺结节患病率升高的独立危险因素(P<0.05).而核接触史、核电作业工龄等其他因素与甲状腺结节发生无明显相关性(P>0.05).结论常规核电作业对核电作业人员甲状腺结节患病率影响较小.Objective To investigate the detection of thyroid nodules and related risk factors in nuclear power workers, and to provide scientific evidence for thyroid protection of nuclear power workers. Methods In December 2018, select 295 workers of a nuclear power production enterprise and 238 administrative staff of it, and select 250 staff members of a thermal power generation enterprise 70 kilometers away from the nuclear power station to conduct thyroid ultrasound examination and questionnaire survey for single factor. Analysis and further multivariate logistic regression analysis were used to study the risk factors of thyroid nodules in the population. Results Women and smoking history were independent risk factors for the increased incidence of thyroid nodules in the study population;three shifts work pattern was an independent risk factor for the increased prevalence of thyroid nodules in nuclear power workers (P<0.05), and other factors such as the history of nuclear exposure had no significant correlation with thyroid nodules (P>0.05). Conclusion Nuclear exposure has little effect on the prevalence of thyroid nodules in nuclear power workers.

关 键 词：核电作业人员 甲状腺结节 超声 

分 类 号：R135[医药卫生—劳动卫生]