新疆乌鲁木齐市老年体检人群肺结节检出情况及影响因素分析  

Detection and Influencing Factors of Pulmonary Nodules in Elderly People Undergoing Physical Examination in Urumqi,Xinjiang

作　　者：杨丹[1] 杨晓萍[1] 邹媛[1] 阿依帕丽·艾克木江 吴建荣[1] YANG Dan;YANG Xiaoping;ZOU Yuan;AYIPALI·AIKEMUJIANG;WU Jianrong(Health Management Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang830000,China)

机构地区：[1]新疆医科大学第一附属医院健康管理中心,新疆乌鲁木齐830000

出　　处：《临床肺科杂志》2024年第11期1644-1647,共4页Journal of Clinical Pulmonary Medicine

基　　金：新疆维吾尔自治区创新环境(人才、基地)建设专项-科技创新基地建设(资源共享平台建设)(No.PT2207);新疆医科大学大学生创新训练计划项目(No.S202210760075);新疆维吾尔自治区卫生健康保健科研专项项目(No.BG202505)。

摘　　要：目的了解新疆乌鲁木齐市老年体检人群肺结节检出情况,分析肺结节的影响因素。方法整群抽取2019年1月-12月在新疆医科大学第一附属医院健康管理中心体检的老年人群为研究对象,收集一般资料和临床资料,采用χ^(2)检验和Logistic回归分析研究肺结节的影响因素。结果3033名老年体检人群中,检出肺结节1775例,肺结节检出率为58.52%。肺结节以多发为主,占63.21%(1122/1775);分布在双肺最多44.56%(791/1775)、右肺次之36.68%(651/1775)、左肺最少18.76%(333/1775)。单因素分析显示:年龄(χ^(2)=21.986,P<0.001)、吸烟史(χ^(2)=11.564,P=0.001)与肺结节相关,差异有显著统计学意义;多因素分析显示,65~69岁(OR=1.330,P=0.003)、70~74岁(OR=1.352,P=0.012)、75~79岁(OR=1.686,P<0.001)、≥80岁(OR=1.451,P=0.004)、吸烟(OR=1.403,P<0.001)是肺结节的影响因素。结论老年体检人群肺结节检出率为58.52%,年龄、吸烟是肺结节的影响因素。Objective To understand the detection of pulmonary nodules in the elderly physical examination population in Urumqi,Xinjiang,and to analyze the influencing factors of pulmonary nodules.Methods The elderly population examined in the Health Management Center of the First Affiliated Hospital of Xinjiang Medical University from January 2019 to December 2019 was selected as the research objects and general and clinical data were collected.χ^(2)test and logistic regression analysis were used to study the influencing factors of pulmonary nodules.Results Among 3033 elderly people,1775 cases of pulmonary nodules were detected,and the detection rate of pulmonary nodules was 58.52%.Pulmonary nodules were mainly multiple,accounting for 63.21%(1122 cases/1775 cases).Distributed in both lungs,the highest was 44.56%(791 cases/1775 cases),followed by 36.68%(651 cases/1775 cases)in the right lung,and the lowest was 18.76%(333 cases/1775 cases)in the left lung.Single factor analysis showed that:age(χ^(2)=21.986,P<0.001),and smoking history(χ^(2)=11.564,P=0.001)were related to pulmonary nodules,and the difference was statistically significant.Multivariate analysis showed that 65-69 years old(OR=1.330,P=0.003),70-74 years old(OR=1.352,P=0.012),75-79 years old(OR=1.686,P<0.001),≥80 years old(OR=1.451,P=0.004),smoking(OR=1.403,P<0.001)were the influencing factors of pulmonary nodules.Conclusion The detection rate of pulmonary nodules in the elderly physical examination population is 58.52%.Age and smoking are the influencing factors of pulmonary nodules.

关 键 词：肺结节 老年体检人群 乌鲁木齐市 检出率 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]