摘要
目的:探究西北地区体检人群甲状腺结节检出情况及其影响因素。方法:将2021年8月—2024年8月于中国人民解放军联勤保障部队第九四二医院进行体检的200例受检者纳入研究。根据是否患有甲状腺结节,将受检者分为甲状腺结节组及无甲状腺结节组。记录甲状腺结节检出率,比较不同年龄段下不同性别患者甲状腺结节检出率,并以单因素、多因素logistic回归分析甲状腺结节的影响因素。结果:甲状腺结节的检出率为19.50%(39/200)。在>55岁年龄段,不同性别甲状腺结节检出率比较差异有统计学意义(P<0.05);>55岁女性甲状腺结节检出率与其他年龄段女性相比差异有统计学意义(P<0.05)。甲状腺结节组女性、脂肪肝、糖尿病与高脂血症占比均高于无甲状腺结节组(P<0.05);甲状腺结节组年龄、体重指数均大于无甲状腺结节组,空腹血糖、LDL-C高于无甲状腺结节组(P<0.05);甲状腺结节组的HDL-C、食用加碘盐占比低于无甲状腺结节组(P<0.05)。多因素logistic回归分析显示,女性、年龄、体重指数、空腹血糖、糖尿病、食用加碘盐、LDL-C及HDL-C为甲状腺结节的影响因素(P<0.05)。结论:体检人群中甲状腺结节检出率较高,其影响因素主要包括女性、年龄、体重指数、空腹血糖、糖尿病、食用加碘盐、LDL-C及HDL-C。
Objective:To investigate the detection status of thyroid nodules and its influencing factors in the physical examination population in Northwest China.Method:A total of 200 subjects who underwent physical examinations in the 942 Hospital of the Joint Logistics Support Force of the People's Liberation Army from August 2021 to August 2024 were included in the study.According to whether they had thyroid nodules or not,the subjects were divided into the thyroid nodules group and the no thyroid nodules group.The detection rate of thyroid nodules was recorded,the detection rates of thyroid nodules in patients of different genders in different age groups were compared,and the influencing factors of thyroid nodules were analyzed by univariate and multivariate logistic regression.Result:The detection rate of thyroid nodules was 19.50%(39/200).In the age group>55 years old,the detection rate of thyroid nodules of different genders was statistically significant(P<0.05).The detection rate of thyroid nodules in female over 55 years old was statistically significant compared with that in female of other age groups(P<0.05).The proportion of female,fatty liver,diabetes and hyperlipidemia in the thyroid nodules group were higher than those in the no thyroid nodules group(P<0.05).The age and body mass index of the thyroid nodules group were larger than those of the no thyroid nodules group,and the fasting blood glucose,LDL-C were higher than those of the no thyroid nodules group(P<0.05).HDL-C and the proportion of iodized salt consumed in the thyroid nodules group were lower than those in the no thyroid nodules group(P<0.05).Multivariate logistic regression analysis showed that female,age,body mass index,fasting blood glucose,diabetes,iodized salt consumed,LDL-C and HDL-C were the influencing factors of thyroid nodules(P<0.05).Conclusion:The detection rate of thyroid nodules is relatively high among the physical examination population.The influencing factors mainly include female,age,body mass index,fasting blood glucose,diabetes,iodized salt consumed,LDL-C and HDL-C.
作者
张哲
孙建芳
项志浩
ZHANG Zhe;SUN Jianfang;XIANG Zhihao(Department of Aviation Clinic,94136 Unit of the Chinese People's Liberation Army,Yinchuan 750025,China;不详)
出处
《中国医学创新》
2025年第20期157-161,共5页
Medical Innovation of China
关键词
体检
甲状腺结节
影响因素
Physical examination
Thyroid nodules
Influencing factors
作者简介
通信作者:孙建芳。
