甲状腺结节患病的危险因素  

Risk Factors for Thyroid Nodule Disease

作　　者：林海宁 卓振权 郭思培 LIN Haining;ZHUO Zhenquan;GUO Sipei(Medical Examination Center,Hui'an County Hospital,Quanzhou 362100,China;Department of Emergency,the 910th Hospital of the People's Liberation Army of China,Quanzhou 362000,China)

机构地区：[1]惠安县医院体检中心,泉州362100 [2]中国人民解放军第910医院急诊科,泉州362000

出　　处：《中国医药指南》2024年第24期30-32,共3页Guide of China Medicine

摘　　要：目的探讨体检人群中甲状腺结节患病的危险因素,为甲状腺结节的防治提供参考依据。方法对2022年1月至2023年1月在本院接受健康体检的人群实施回顾性分析,共随机纳入562名健康体检者,均接受了甲状腺超声检查。按照超声结果提示进行分析,其中无甲状腺结节健康体检者395名,编入健康对照组;超声提示甲状腺结节阳性者167例,编入结节组。收集两组受检者的社会学资料、临床资料,对甲状腺结节检出进行单因素分析和多因素Logistic回归分析,明确罹患甲状腺结节的危险因素。结果单因素组间对比显示:结节组、健康对照组一般资料单因素对比显示,性别、年龄、甲状腺疾病家族史、饮酒史、超重、血压异常的对比中存在显著差异(P<0.05);两组组间吸烟史、血脂异常、血糖异常对比无差异(P>0.05)。回归分析结果显示:性别女、年龄≥45岁、甲状腺家族史、超重、血压异常是导致甲状腺结节的危险因素(P<0.05)。结论甲状腺结节在我国有较高的发病率,尤其是女性、年龄≥45岁、甲状腺家族史、超重、血压异常的人群更需要定期体检,及早确诊及早干预,降低不良结局的风险。Objective To explore the risk factors for thyroid nodules in the population undergoing physical examination,and provide reference for the prevention and treatment of thyroid nodules.Methods A retrospective analysis was conducted on the population who underwent health examinations in our hospital from January 2022 to January 2023.A total of 562 healthy examinees were randomly included,all of whom underwent thyroid ultrasound examination.According to the ultrasound results,395 healthy individuals without thyroid nodules were included in the healthy control group for analysis;167 cases with positive thyroid nodules detected by ultrasound were included in the nodule group.Collect sociological and clinical data from two groups of patients,conduct univariate analysis and multivariate Logistic regression analysis on thyroid nodule detection,and identify the risk factors for thyroid nodule.Results There were significant differences(P<0.05)in gender,age,family history of thyroid disease,history of alcohol consumption,overweight,and abnormal blood pressure between the nodule group and the healthy control group.Comparison of smoking history,abnormal blood lipids,and abnormal blood glucose between the two groups(P>0.05).The regression analysis results showed that gender,age≥45 years old,family history of thyroid,overweight,and abnormal blood pressure were risk factors for thyroid nodules(P<0.05).Conclusions There is a high incidence rate of thyroid nodules in China,especially in women,people with age≥45 years,thyroid family history,overweight,and abnormal blood pressure,who need regular physical examination,early diagnosis and early intervention to reduce the risk of adverse outcomes.

关 键 词：健康体检 甲状腺结节 危险因素 甲状腺 

分 类 号：R581[医药卫生—内分泌]