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浙江省嘉兴市部分体检成年男性肺结节的检出情况及相关因素分析

Analysis of pulmonary nodule detection and related factors in adult males in a hospital in Jiaxing city,Zhejiang Province

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目的 分析浙江省嘉兴市部分体检成年男性肺结节检出情况及相关影响因素,为肺结节及肺癌的防控工作提供参考依据.方法 选取2022年1月—2023年12月在浙江省荣军医院与嘉兴市第一医院进行体检的成年男性为研究对象,收集其一般资料并统计螺旋CT肺结节筛检情况.采用单因素和多因素Logistic回归,分析成年男性发生肺结节的影响因素.结果 共纳入2 187名受检者,检出肺结节801例,检出率为36.6%.单因素分析结果显示,年龄、吸烟、饮食偏好、每周运动次数、油烟接触及职业暴露与成年男性发生肺结节有关(均P<0.05);多因素分析显示,年龄≥60 岁(OR=1.962,95%CI=1.323~2.909)、吸烟(OR=2.036,95%CI=1.328~3.121)、偏爱腌制油炸(OR=2.088,95%CI=1.286~3.388)、每周运动<1 次(OR=2.077,95%CI=1.371~3.147)、长期油烟接触史(OR=2.050,95%CI=1.299~3.237),以及有职业暴露史(OR=2.104,95%C1=1.284~3.448)均为成年男性发生肺结节的相关因素(P<0.05).结论 成年男性肺结节检出率较高,与年龄、吸烟、饮食偏好、每周运动次数、油烟接触、职业暴露等因素有关,建议临床根据相关危险因素采取干预对策,以控制和降低肺结节的发生率.
Objective To analyze the detection of pulmonary nodules in adult males during health examinations in Jiaxing City,Zhejiang Province,and to investigate the associated influencing factors,providing a reference for the prevention and control of pulmonary nodules and lung cancer.Methods Adult males who underwent physical examination at Zhejiang Rongjun Hospital and the First Hospital of Jiaxing from January 2022 to December 2023 were selected as the study subjects.General information was collected and the screening results of spiral CT for pulmonary nodules were statistically analyzed.Univariate and multivariate Logistic regression analyses were used to investigate the influencing factors for the occurrence of pulmonary nodules in adult males.Results A total of 2 187 subjects were included,with 801 cases of pulmonary nodules detected,resulting in a detection rate of 36.6%.Univariate analysis showed that age,smoking,dietary preferences,weekly exercise frequency,fume exposure,and occupational exposure were associated with the occurrence of pulmonary nodules in adult males(all P<0.05).Multivariate Logistic regression analysis showed that being aged 60 or above(OR=1.962,95%CI=1.323-2.909),history of smoking(OR=2.036,95%CI=1.328-3.121),preference for pickled and fried foods(OR=2.088,95%CI=1.286-3.388),exercising less than once a week(OR=2.077,95%CI=1.371-3.147),long-term exposure to cooking fumes(OR=2.050,95%CI=1.299-3.237),and occupational exposure history(OR=2.104,95%CI=1.284-3.448)were all related factors for the occurrence of pulmonary nodules in adult males(P<0.05).Conclusions The detection rate of pulmonary nodules in adult males is relatively high and is associated with factors such as age,smoking,dietary preferences,weekly exercise frequency,exposure to cooking fumes,and occupational exposure.It is recommended that clinical interventions be taken based on these risk factors to control and reduce the incidence of pulmonary nodules.

pulmonary nodulesdetectionadult malesinfluencing factors

马恩斌、陈继文、许帮彦、高凯、李克翌

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浙江省荣军医院放射科,浙江嘉兴 314000

嘉兴市第一医院放射科,浙江嘉兴 314000

肺结节 检出 成年男性 影响因素

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(5)