Investigation and analysis of thyroid nodule among medical staff in Xiamen area
Objective To investigate the prevalence and epidemiological characteristics of thyroid nodule(TN)in medical staff in Xiamen area.Method Thyroid ultrasound,lung CT screening,biochemical and thyroid function index detection were performed on 1 082 medical staff,and breast and gynecological color ultrasound screening were performed on female medical staff.Results Among 1 082 medical personnel,279 males and 803 females,TN 498 cases were detected,the total detection rate was 46.03%,the detection rate of female(48.82%)was higher than that of male(37.99%),the difference was statistically significant(P<0.01).The preva-lence of TN increased gradually with the increase of age,and the prevalence was the highest in the group over 50 years old.The detec-tion rate of TN in females was higher than that in males,and the difference was statistically significant in 30-39 years old and 40-49 years old(P<0.01).Compared with non-TN group,the probability of fatty liver and lung nodules in TN group was higher than that in TN group,and the difference was statistically significant(P<0.05).In terms of biochemical indexes,there were no statistically signif-icant differences in fasting blood glucose,blood lipids(total cholesterol,triglycerides,low density lipoprotein,high density lipopro-tein),FT3 and FT4 between the two groups(P>0.05),but creatinine in the non-TN group was higher than that in the TN group,and TSH was lower than that in the TN group,with statistical significance(P<0.05).The risk factors of TN include gender,age and TSH.For female medical staff,compared with non-TN group,the probability of fatty liver,lung nodules,uterine fibroids and breast nodules in TN group was higher than that in TN group,and the difference was statistically significant(P<0.05).The risk factors for TN in female medical staff included age,uterine fibroids and breast nodules.Conclusion The medical staff in Xiamen area is the pop-ulation with high incidence of thyroid nodule,especially the middle-aged and young female medical staff.Gender,age and TSH are the high risk factors for TN in medical staff,while age,uterine fibroids and breast nodules are the high risk factors for TN in female medical staff.
万方数据
维普
