Analysis of risk factors of thyroid nodules in medical staff in Xiamen area
Objective To investigate the prevalence rate and related risk factors of thyroid nodules(TNS)in medical staff in Xiamen area.Methods A cross-sectional survey was conducted on 657 medical staff who underwent health examination in the physical examination center of Xiamen Hospital of Traditional Chinese Medicine from January 2021 to December 2022.The subjects were required to complete thyroid ultrasound examination and questionnaire.Logistic regression was used to analyze the risk factors of TNS in medical staff.Results In 657 medical staff,184 cases of TNS were detected,with a total detection rate of 28.01％,of which 20 cases(3.04％)were pathologically diagnosed as thyroid malignant tumors,and the prevalence rate of women was higher than that of men,with statistically significant difference(P＜0.05).Compared with the non-TNS group,patients in the TNS group all had higher age,hospital working years,emotional problems,night shift years,night shift interval,and sleep disorder after night shift,with statistically significant differences(P＜0.05).The patients in the TNS group were more complicated with hyperthyroidism,hypothyroidism,Hashimoto's thyroiditis,fatty liver and pulmonary nodules than those in the non-TNS group,with statistically significant differences(P＜0.05).However,there were no statistically significant differences between the two groups in the aspects of whether they were on night shift,eating seafood,laver,kelp,using iodized salt,exercising,drinking sugary drinks and staying up late(P＞0.05).The risk factors of TNS include gender,history of hyperthyroidism,history of pulmonary nodules,history of fatty liver,emotional problems and night shift interval(P＜0.05).Conclusion The prevalence rates of TNS in medical staff in Xiamen area are higher than those of the local population.Female,history of hyperthyroidism,history of pulmonary nodules,history of fatty liver,emotional problems and long night shift interval are independent risk factors for TNS in medical staff in this area.Screening and health management should be strengthened for high-risk groups of TNS.
国家科技期刊平台
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