秦皇岛地区体检人群甲状腺结节患病特征分析  

The characteristics and influencing factors of thyroid nodules in the physical examination population in Qinhuangdao area

作　　者：刘建新 张冰[2] LIU Jianxin;ZHANG Bing(Department of Physical Examination,Jungong Hospital,Hebei,Qinhuangdao 066000,China;不详)

机构地区：[1]河北省秦皇岛军工医院体检科,066000 [2]河北省秦皇岛市第一医院超声科

出　　处：《河北医药》2020年第15期2374-2376,2380,共4页Hebei Medical Journal

基　　金：中国药学会全国医药经济信息网CMEI2019KPYJ00605—互联网+药学服务应用的研究与实践创新。

摘　　要：目的探讨分析秦皇岛地区体检人群中甲状腺结节患病特征及因素,以期为提高本地区体检人群甲状腺结节疾病检出率。方法选取2018年1月至2019年1月健康管理体检中心含甲状腺彩超体检人群5063名作为研究对象,用横断面调查及整群随机抽样法对所有研究对象进行调查分析,分析甲状腺结节患病特征,包括年龄、性别、工作性质、生活方式、饮食特点、焦虑、“三高症”的分布情况。结果在接受调查的5063名体检人员中,有效统计数据资料为4807名(男2514名,女2293名),患病率47.2%,女性各年龄组患病率均高于男性(P<0.01),年龄越大患病率越高(P<0.05),创业者、中小学生教师甲状腺结节发率较其他工作性质高(P<0.01),焦虑、吸烟、运动、饮食与患病有关(P<0.05)。结论秦皇岛地区甲状腺结节患病特征与性别、年龄、工作性质、饮食特点、心理因素、“三高症”等因素相关,可通过健康管理干预减少甲状腺结节发病。Objective To investigate the characteristics and influencing factors of thyroid nodules in the physical examination population in Qinhuangdao area,so as to improve the detection rate of thyroid nodular diseases in the physical examination population in this area.Methods A total of 5,063 subjects who underwent thyroid color Doppler ultrasound examination in the health management center of our hospital from January 2018 to January 2019 were enrolled in the study.The cross-sectional survey and cluster random sampling method were used to investigate and analyze the characteristics and influencing factors of thyroid nodules in all the subjects including age,gender,nature of work,lifestyle,dietary characteristics,anxiety,and the distribution status of“three high symptoms”.Results Among the 5,063 subjects,the effective statistical data were 4,807 subjecs(2,514 males and 2,293 females),with prevalence rate being 47.2%,and the prevalence rates of females in different age groups were significantly higher than those of males(P<0.01).The older the age of subjects,the higher the prevalence rate was.Moreover the incidence rates of thyroid nodules in entrepreneurs and teachers of elementary and middle school students were significantly higher than those in the other occupations(P<0.01).In addition the anxiety,smoking,exercise,diet were related to the pathogenesis of disease(P<0.05).Conclusion The characteristics of thyroid nodules in Qinhuangdao area are related to gender,age,work nature,diet characteristics,psychological factors,“three high symptoms”and the other factors,and the incidence rate of thyroid nodules can be reduced through health management interventions.

关 键 词：秦皇岛地区 甲状腺结节 患病率 影响因素 

分 类 号：R581[医药卫生—内分泌]