河南省濮阳市测井放射工作人员甲状腺结节检出情况及影响因素分析  

Analysis of detection and factors affecting the thyroid nodule among well logging radiation workers in Puyang, Henan

作　　者：李崇尚 臧静 李福冉 LI Chongshang;ZANG Jing;LI Furan(Puyang Center for Disease Control and Prevention,Henan,Puyang 457000,China;Puyang Institute of Occupational Disease Prevention)

机构地区：[1]濮阳市疾病预防控制中心,河南濮阳457000 [2]濮阳市职业病防治院

出　　处：《现代疾病预防控制》2024年第5期375-378,共4页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的了解河南省濮阳市测井放射工作人员的甲状腺结节检出情况及影响因素。方法采用面对面书面调查的方式,收集濮阳市2021—2022年测井放射工作人员的职业健康体检资料,调查内容包括一般人口学信息,个人剂量监测数据、放射源种类、既往甲状腺疾病史和甲状腺彩超检查结果。采用多因素logistic回归分析甲状腺结节检出的影响因素。结果共纳入553位研究对象,男性478人,女性75人,检出甲状腺结节219人,检出率为39.60%。与男性测井放射工作人员相比,女性测井放射工作人员的甲状腺结节检出风险更高(OR=3.054,95%CI:1.820~5.126);与工龄<11年的测井放射工作人员相比,工龄31~40年的人员甲状腺结节检出风险更高(OR=2.342,95%CI:1.268~4.335);与源库保管岗人员相比,放射性测井岗(OR=8.404,95%CI:1.095~65.514)、放射源操作岗(OR=15.674,95%CI:1.850~132.800)人员甲状腺结节的检出风险更高。结论做好放射性测井人员放射防护工作,加强职业健康检查,落实职业健康管理工作。Objective To understand the prevalence of thyroid nodules and its influencing factors among well logging radiation workers in Puyang city, Henan province. Method Face-to-face written surveys were used;the occupational health examination data of well logging radiation workers in Puyang city, Henan province were collected from 2021 to 2022;the survey items included general demographic information, individual dose monitoring data, type of radioactive source, history of previous thyroid disease, and thyroid ultrasound results. Multi-variate logistic regression was used to analyze the influencing factors of thyroid nodules. Results A total of 553 participants, 478 males and 75 females, were included. A total of 219 participants were found to have thyroid nodules, and the detection rate of thyroid nodules was 39.60%. The risk of detecting thyroid nodules was higher in women than that in to men(OR=3.054, 95%CI: 1.820-5.126);compared with the workers with less than 11 years of service, the workers with 31-40 years of service had an incresing risk of thyroid nodule detection(OR=2.342, 95%CI: 1.268-4.335);compared with the source repository custodians, those in the radiation well logging position(OR =8.404, 95% CI: 1.095-65.514) and radioactive operator position(OR =15.674, 95% CI:1.850-132.800) had an increasing risk of detecting thyroid nodules.Conclusions It is advised to carry out proper radiation protection among the well logging radiation workers, strengthen occupational health examinations, and implement occupational health management.

关 键 词：甲状腺结节 流行情况 影响因素 放射性测井 职业健康检查 

分 类 号：R14[医药卫生—公共卫生与预防医学]