摘要
目的调查上海市浦东新区社区居民甲状腺结节患病情况,分析甲状腺结节发生的危险因素。方法纳入于2017年8月—2018年7月上海市浦东新区三林康德社区卫生服务中心门诊就诊并接受甲状腺B超检查的患者299例,按照甲状腺彩超是否发现甲状腺结节分为甲状腺结节组和非甲状腺结节组,采用χ2检验和多因素Logistic回归分析甲状腺结节发生的危险因素。结果299例患者中共检出甲状腺结节233例,检出率为77.93%(233/299),单发结节107例(45.92%),多发结节126例(54.08%);甲状腺结节组性别、年龄、腰围、BMI、高血压、饮酒、食用盐和乳腺结节与无甲状腺结节组比较差异有统计学意义(P<0.01);多因素Logistic分析结果显示,年龄、性别、BMI、高血压和乳腺结节是甲状腺结节的独立危险因素。结论上海市浦东新区社区居民中甲状腺结节的患病率较高,女性、高龄、超重或肥胖、患有高血压和患有乳腺结节是甲状腺结节发病的独立危险因素,早期行甲状腺彩超检查,对甲状腺结节做到早知道、早发现、早诊断、早治疗有重要的临床意义。
Objective To investigate the prevalence of thyroid nodules in residents of Pudong New Area, Shanghai, and to analyze the risk factors of thyroid nodules. Methods A total of 299 patients from August 2017 to July 2018 were admitted to the outpatient clinic of Sanlin Kant Community Health Service Center in Pudong New Area of Shanghai, and they received thyroid B-ultrasound examination. All patients were divided into thyroid nodules group and non-thyroid nodules group according to whether thyroid color Doppler ultrasound was found to be thyroid nodules. The χ2 test and multivariate Logistic regression were used to analyze the risk factors of thyroid nodules. Results A total of 233 thyroid nodules were detected in 299 patients. The detection rate was 77.93%(233/299), 107 case (45.92%) with single nodules, and 126 case(54.08%) with multiple nodules. There were staistically significant differences in gender, age, waist circumference, BMI, hypertension, alcohol consumption, edible salt and breast nodules between thyroid nodules group and no thyroid nodule group(P<0.01). Multivariate logistic analysis showed that age, gender, BMI, hypertension, and breast nodules were independent risk factors for thyroid nodules. Conclusion The prevalence of thyroid nodules is higher in community residents of Pudong New Area, Shanghai. Women, advanced age, overweight or obesity, hypertension and breast nodules are independent risk factors for thyroid nodules. Early thyroid color Doppler ultrasound examination, early knowledge, early detection, early diagnosis and early treatment of thyroid nodules have important clinical significance.
作者
宋娅敏
SONG Ya-min(Sanlin Kant Community Health Service Center in Pudong New Area,Shanghai,200124 China)
出处
《中国卫生产业》
2019年第18期176-179,共4页
China Health Industry
关键词
社区
甲状腺结节
危险因素
患病率
Community
Thyroid nodules
Risk factors
Prevalence
