摘要
目的研究厦门地区医务人员甲状腺结节(TNS)患病率及相关危险因素。方法对2021年1月至2022年12月在厦门市中医院体检中心进行健康体检的657名医务人员进行横断面调查研究,研究对象要求完成甲状腺超声检查和问卷调查。采用logistic回归分析医务人员TNS的危险因素。结果在657名医务人员中,检出TNS 184例,总检出率为28.01%,其中有20例(3.04%)病理确诊为甲状腺恶性肿瘤,女性患病率高于男性,差异有统计学意义(P<0.05)。TNS组与非TNS组比较,TNS组患者的年龄、医院工作年限、存在情绪问题、值夜班年限、夜班间隔时间、夜班后发生睡眠障碍问题均高于非TNS组,差异有统计学意义(P<0.05),TNS组患者合并甲状腺功能亢进症、甲状腺功能减退症、桥本甲状腺炎、脂肪肝、肺结节高于非TNS组,差异有统计学意义(P<0.05),两组在是否值夜班,海鲜食用情况,紫菜、海带食用情况,碘盐食用情况,锻炼情况,饮用含糖饮料情况,熬夜情况比较,差异无统计学意义(P>0.05)。TNS的危险因素包括性别、甲状腺功能亢进病史、肺部结节病史、脂肪肝病史、存在情绪问题、夜班间隔时间(P<0.05)。结论厦门地区医务人员TNS患病率高于本地区人群,女性、合并甲状腺功能亢进病史、肺部结节病史、脂肪肝病史、情绪问题、夜班间隔时间长是该地区医务人员TNS发病的独立危险因素,对TNS高危人群应加强筛查及健康管理。
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 sho uld be strengthened for high-risk groups of TNS.
作者
曾华蓉
柯志福
苏美梅
周玉贞
ZENG Huarong;KE Zhifu;SU Meimei;ZHOU Yuzhen(Department of Endocrinology,Xiamen Hospital of Traditional Chinese Medicine,Fujian,Xiamen 361000,China;Department of Geriatrics,Xiamen Hospital of Traditional Chinese Medicine,Fujian,Xiamen 361000,China;Department of Nursing,Xiamen Hospital of Traditional Chines e Medicine,Fujian,Xiamen 361000,China)
出处
《中国医药科学》
2024年第12期108-112,共5页
China Medicine And Pharmacy
基金
福建省科技计划项目(2020D018)
福建省厦门市医疗卫生指导性项目(3502Z20209133)
福建省厦门市中医后备人才培养项目(厦卫中医〔2022〕136号)。
