| 重庆地区成年女性甲状腺结节检出情况及影响因素分析 |
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| 引用本文： | 杨洋,胥利.重庆地区成年女性甲状腺结节检出情况及影响因素分析[J].现代预防医学,2022,0(11):2054-2058. |
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| 作者姓名： | 杨洋 胥利 |
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| 作者单位： | 1.重庆医科大学附属第一医院金山医院手术室,重庆 渝中区 401122; 2.重庆医科大学附属第一医院健康管理中心 |
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| 摘 要： | 目的 了解重庆地区健康体检人群中成年女性的甲状腺结节(thyroid nodules,TNs)检出情况及影响因素,为甲状腺疾病的防治提供参考。方法 分析重庆某大型三甲医院健康体检中心38 069例健康女性体检者甲状腺超声检查情况及代谢相关指标,计算甲状腺结节的检出率并分析其影响因素。结果 38 069例健康女性体检者中,16 042例检出甲状腺结节,检出率为42.1%,多发性甲状腺结节8 908例,占比为55.5%,甲状腺结节的检出率随年龄增长而增加(P<0.01)。多因素logistic 回归分析提示,年龄增加(>30岁)、中心性肥胖(OR=1.16,95%CI:1.08～1.25)、高血压(OR=1.16,95%CI: 1.07～1.25)是甲状腺结节的独立危险因素(P<0.01); 低BMI是甲状腺结节的保护因素(OR=0.89,95%CI: 0.81～0.98, P<0.01)。结论 重庆地区女性甲状腺结节检出率较高,对于高龄、中心型肥胖及高血压女性人群应该重点进行甲状腺结节的超声筛查,以便早期发现和诊断。
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| 关 键 词： | 甲状腺结节 女性 检出率 影响因素 |
Detection of thyroid nodules in adult women in Chongqing and its influencing factors |
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| YANG Yang,XU Li.Detection of thyroid nodules in adult women in Chongqing and its influencing factors[J].Modern Preventive Medicine,2022,0(11):2054-2058. |
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| Authors: | YANG Yang XU Li |
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| Affiliation: | *Department of Anesthesiology, Jinshan Hospital, the First Affiliated Hospital of Chongqing Medical University, Chongqing 401122, China |
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| Abstract: | Objective To analyze the detection of thyroid nodules(TNs)and its influencing factors among female adults undergoing routine health check-up in Chongqing, and to provide reference for prevention and treatment of thyroid diseases. Methods Results of thyroid ultrasonography of 38 069 female adults receiving routine health check-up in a Health Management Center of a large Grade A hospital in Chongqing over the past 3 years were retrospectively analyzed. The detectable rate was calculated, and the relationship between different factors and thyroid nodules was analyzed. Results Of the included 38 069 participants, 16 042 had TNs, with the detectable rate of 42.1%, and 8 908 of them had multiple thyroid nodules(55.5%). TNs detectable rate was gradually increased with age(P for trend <0.01). Multivariate logistic regression analysis suggested that old age(>60 years, OR=5.67, P<0.01), central obesity(OR=1.16, 95%CI: 1.08-1.25)and hypertension(OR=1.16, 95%CI: 1.07-1.25)were independent risk factors for thyroid nodules, and low BMI was protective factor of thyroid nodules(OR=0.89, 95%CI: 0.81-0.98, P<0.01). Conclusion The detectable rate of thyroid nodules is high in women of Chongqing. For the elder population and those with central obesity or hypertension, ultrasound screening of thyroid nodules should be emphasized to facilitate early detection and diagnosis, and thus guide clinical treatment. |
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| Keywords: | Thyroid nodule Female Detectable rate Influence factor |
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