油田职工健康体检甲状腺结节患病率临床分析

目的 研究油田职工健康体检彩色多普勒超声甲状腺结节检出状况、分析相关影响因素、发展、预后,为临床防治、健康教育提供指导.方法 从1万名健康体检职工中随机抽取5000名甲状腺彩色多普勒超声检查资料进行统计分析,普通人群中甲状腺结节发病情况,并对需要治疗的病例及时个体化处理.结果 在随机抽取的5 000名职工中,检出甲状腺结节2 190例,占43.8％,其中男性850例（17.0％）,女性1 340例（26.8％）,两者比较女性患病率明显高于男性（P＜0.05）;且对甲状腺的患病率与不同年龄和性别之间的比较发现,随着年龄的增大,甲状腺结节的患病率也逐渐增大,且各个年龄段中,女性的患病率均明显大于男性P ＜0.05,分析甲状腺结节大小和数量,其中以直径不到1 cm的小结节为主（65.8％）.结论 健康人群中,多普勒超声甲状腺结节检查患病率较高,且女性的发病率较高,对提高广大群众对甲状腺疾病的知晓率,从而使人们越来越重视早期发现自己潜在甲状腺疾病,早预防、早诊断,早治疗意义重大.

Clinical analysis of thyroid nodules prevalence rate for oil field workers in health examination

Objective To study the oil field worker health＂ check-up of color doppler ultrasound of thyroid nodules detected condition, analyze the related influence factors, development and prognosis, and provide guidance for clinical prevention and treatment, health education. Methods From 10,000 healthy physical examination staff in a random sample of 5000 thyroid color doppler ultrasound examination data statistical analysis, thyroid nodules incidence in the general population, and the need to treat cases of individualized treatment in a timely manner. Results In a random sample of 5,000 employees, 2,190 cases of thyroid nodule detection, accounted for 43.8%, 850 cases （ 17.0% ） of men, women, 1,340 cases （26.8%）, which showed women prevalence was significantly higher than male （ P 〈 0. 05 ） ; And on the prevalence of thyroid gland and the comparison between different age and gender, as the increase of age, the prevalence of thyroid nodules also increased gradually, and in all ages, the prevalence of women were significantly greater than the male （ P 〈 0. 05 ）, the analysis of thyroid nodule size and quantity, which was given priority to diameter less than 1 cm of small nodules （65.8%）. Conclusions Healthy crowd, Doppler flow imaging check the prevalence of thyroid nodule is higher, and the incidence of women is higher, to improve the broad masses of thyroid disease awareness, which makes people pay more and more attention to the early detection of potential thyroid disease, early prevention, early diagnosis, early treatment is of great significance.