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健康体检人群甲状腺结节现状及相关性研究

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目的 探讨杭州市甲状腺结节在健康体检人群中的患病情况,并分析相关影响因素.方法 回顾性收集 2023年 1 月~2023 年10 月于空军杭州特勤疗养中心进行健康体检的人群9288 例,均进行基础五项检测、甲状腺B超检查、生化检测、血常规检测和甲状腺功能检测.结果 健康体检人群甲状腺结节的患病率高达 60.33%(5603∕9288),其中男性的患病率达 49.46%,女性的患病率达 71.53%,不同性别甲状腺结节的患病率比较,差异有统计学意义(χ2=472.418,P<0.05).甲状腺结节总体患病率随着年龄的增加而增加,各年龄段女性甲状腺结节的患病率均高于男性(χ2=22.050、118.625、26.985、186.154,P<0.05),≥50 岁的女性是甲状腺结节的高危人群.女性、年龄、体质量指数均是发生甲状腺结节的独立危险因素(OR=2.846、1.822、1.052,95%CI=2.502~3.237、1.714~1.937、1.030~1.074,P<0.05).结论 健康体检人群甲状腺结节的患病率高,高龄女性是高危人群,可根据影响因素制定针对性方案,早期防治甲状腺结节.
Study on the prevalence and correlation of thyroid nodules in a healthy population undergoing medical check-ups
Objective This research aims to explore the prevalence of thyroid nodules in a healthy population undergoing medical check-ups in Hangzhou city and analyze the associated influencing factors.Methods A retrospective analysis was conducted on data from 9,288 individuals who underwent medical examinations at our hospital between January 2023 and October 2023.The assessment included five basic components:thyroid ultrasound,biochemistry,complete blood count,and thyroid function tests.Results The prevalence of thyroid nodules in the healthy population was remarkably high at 60.33%,with rates of 49.46%in males and 71.53%in females and there were significant differences in the prevalence of thyroid nodules in different genders(χ2=472.418,P<0.05).The incidence of thyroid nodules increased with age,and females exhibited a higher prevalence across all age groups(χ2=22.050,118.625,26.985,186.154,P<0.001).Women aged 50 and above were identified as a high-risk demographic for thyroid nodules.Female gender,age,BMI were recognized as risk factors for thyroid nodules(OR=2.846,1.822,1.052,95%CI=2.502~3.237,1.714~1.937,1.030~1.074,P<0.001).Conclusion The study highlights the high prevalence of thyroid nodules in the healthy population undergoing medical check-ups,particularly among older females who are at a higher risk.The identified influencing factors can inform the development of targeted health education programs to promote early prevention and treatment of thyroid nodules.

Medical check-up populationThyroid nodulesCorrelation

朱炜琴、王洋、季勇、庞丽娇、刘丹、菅逸斐、刘婷婷、马孝定、胡珊

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310007 杭州,空军杭州特勤疗养中心疗养二区健康管理科

310007 杭州,空军杭州特勤疗养中心疗养二区体检中心

310007 杭州,空军杭州特勤疗养中心疗养二区疗养二科

体检人群 甲状腺结节 相关性 防治 影响因素

空勤疗养任务统筹及流程管理研究项目

23BJZ16

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(5)