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健康体检人群甲状腺结节检出情况及发病的影响因素

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目的 调查健康体检人群甲状腺结节(TNs)检出情况,并分析其影响因素,为早期防治TNs提供参考依据.方法 选取2022年1月1日至2023年4月30日15 393例健康体检人群,均进行多普勒超声检查,按年龄分层及性别统计TNs患病率,通过单因素及多因素logistic回归方程分析TNs影响因素.结果 15 393例健康体检者,共检查出5 001例TNs,检出率为32.49%(5 001/15 393).男性不同年龄组TNs检出率均低于女性(P<0.05).健康人群随着年龄增长TNs检出率呈升高趋势(P<0.05).两组体重指数、收缩压、舒张压、空腹血糖(FPG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、性别、年龄、吸烟、饮酒、高脂血症、糖尿病、代谢综合征、脂肪肝、焦虑、抑郁比较,差异有统计学意义(P<0.05).年龄、性别、糖尿病、脂代谢综合征、脂肪肝、焦虑、抑郁均为TNs独立影响因素(P<0.05).结论 健康体检人群TNs检出率较高,主要与年龄、性别、糖尿病、脂代谢综合征、脂肪肝、焦虑、抑郁等因素有关,临床应在健康体检中普及甲状腺彩超检查项目,以实现对甲状腺疾病的尽早防治.
Thyroid Nodule Detection and Influencing Factors in Healthy People
Objective To investigate the detection of thyroid nodules(TNs)in healthy people and analyze its influencing factors,so as to provide reference for the prevention and treatment of thyroid nodules.Methods A total of 15 393 healthy subjects from January 1,2022 to April 30,2023 were selected and examined by Doppler ultrasound.The prevalence rate of TNs was analyzed according to age stratification and sex,and the influencing factors of TNs were analyzed by univariate and multivariate logistic regression equations.Results In 15 393 healthy subjects,5 001 cases of TNs were detected,the detection rate was 32.49%(5 001/15 393).The detection rate of TNs in different age groups of males was lower than that of females(P<0.05).The detection rate of TNs in healthy people showed an increasing trend with age(P<0.05).There were statistically significant differences in body mass index,systolic blood pressure,diastolic blood pressure,fasting plasma glucose(FPG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),gender,age,smoking,drinking,hyperlipidemia,diabetes,metabolic syndrome,fatty liver,anxiety and depression between the two groups(P<0.05).Age,sex,diabetes,lipid metabolic syndrome,fatty liver,anxiety,depression were independent influencing factors of TNs(P<0.05).Conclusion The detection rate of TNs in healthy people is higher,which is mainly related to age,sex,diabetes,lipid metabolic syndrome,fatty liver,anxiety,depression and other factors.It is necessary to popularize thyroid color ultrasound examination in clinical health examination to realize the prevention and treatment of thyroid diseases as soon as possible.

health examination populationthyroid nodulesdetection rateinfluencing factor

杨静、王英伟、门琤

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南阳市中心医院健康管理科,河南南阳 473009

健康体检人群 甲状腺结节 检出率 影响因素

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(1)
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