女性健康体检人群乳腺结节和甲状腺结节检出情况及相关影响因素分析  

Analysis of detection and related influencing factors of breast nodules and thyroid nodules among female population in physical examination

作　　者：关若萍 戴国奎 叶传江 罗利利 李丹娜 GUAN Ruo-ping;DAI Guo-kui;YE Chuan-jiang;LUO Li-li;LI Dan-na

机构地区：[1]广州市干部和人才健康管理中心广州市第十一人民医院医学检验科,广东广州510530

出　　处：《中国疗养医学》2024年第3期109-112,共4页Chinese Journal of Convalescent Medicine

基　　金：广州市科技计划项目(202201011808);广东省医学科学技术研究基金项目(C2021101)。

摘　　要：目的研究在广州市干部和人才健康管理中心健康体检的女性人群中乳腺结节和甲状腺结节检出情况及影响因素,为乳腺和甲状腺疾病的早期防治提供科学依据。方法选取2020年在广州市干部和人才健康管理中心健康体检并行乳腺和甲状腺彩超检查的8175例女性受检人员作为研究对象,进行回顾性分析,了解女性健康体检人群中乳腺结节和甲状腺结节检出情况,采用SPSS 23.0统计学软件进行卡方检验和多分类Logistic回归分析,分析结节与年龄、体质量指数、血压、血糖、血脂、尿素、肌酐、尿酸等影响因素之间的关系。结果在8175例女性受检者中乳腺结节检出率为38.42%(3141/8175);甲状腺结节检出率为52.78%(4315/8175),且检出率随年龄增长升高;乳腺结节合并甲状腺结节检出率为21.44%(1753/8175)。多因素Logistic回归分析结果显示,乳腺结节的发生与身高(OR=1.011,P<0.05)、BMI(OR=0.980,P<0.05)、舒张压(OR=1.071,P<0.05)及甲状腺结节(OR=1.361,P<0.001)独立相关。而甲状腺结节的发生与年龄(OR=1.065,P<0.001)、身高(OR=1.013,P<0.01)、BMI(OR=1.033,P<0.01)、舒张压(OR=1.092,P<0.05)及乳腺结节(OR=1.327,P<0.001)独立相关。结论女性健康体检人群乳腺结节的发病年龄高峰为40~<50岁组,而甲状腺结节检出率随年龄增长而增加;较高身高、低BMI、高舒张压和甲状腺结节是发生乳腺结节的独立相关因素。年龄增加、较高身高、高BMI、高舒张压和乳腺结节是女性发生甲状腺结节的独立相关因素。Objective To study the detection and influencing factors of breast nodules and thyroid nodules among female population who underwent physical examination in the Cadres and Talents Health Management Center of Guangzhou,and to provide scientific basis for the early prevention and treatment of breast and thyroid diseases.Methods A total of 8175 female subjects who underwent physical examination and breast and thyroid color ultrasonography in the Cadres and Talents Health Management Center of Guangzhou in 2020 were selected as the research objects for retrospective analysis to understand the detection of breast nodules and thyroid nodules in the female health examination population.SPSS 23.0 statistical software was used to conduct Chi-square test and multiple Logistic regression analysis to analyze the relationship between nodules and age,body mass index,blood pressure,blood glucose,lipid,urea,creatinine,uric acid and other influencing factors.Results The detection rate of breast nodules in 8175 female subjects was 38.42%(3141/8175).The detection rate of thyroid nodules was 52.78%(4315/8175),and the detection rate increased with age.The detection rate of breast nodules with thyroid nodules was 21.44%(1753/8175).Multivariate Logistic regression analysis showed that the occurrence of breast nodules was independently correlated with height(OR=1.011,P<0.05),BMI(OR=0.980,P<0.05),diastolic blood pressure(OR=1.071,P<0.05)and thyroid nodules(OR=1.361,P<0.001).The occurrence of thyroid nodule was independently correlated with age(OR=1.065,P<0.001),height(OR=1.013,P<0.01),BMI(OR=1.033,P<0.01),diastolic blood pressure(OR=1.092,P<0.05)and breast nodules(OR=1.327,P<0.001).Conclusion Among female population in physical examination,the peak age of breast nodules is 40~<50 years old,while the detection rate of thyroid nodules increases with age.High height,low BMI,high diastolic blood pressure and thyroid nodules are independent correlation factors for breast nodules.Increased age,high height,high BMI,high diastolic blood pressure,

关 键 词：乳腺结节 甲状腺结节 健康体检 影响因素 

分 类 号：R655.8[医药卫生—外科学] R581[医药卫生—临床医学]