摘要
目的调查黑龙江省成人甲状腺结构异常情况及流行病学特征。方法2017年12月至2018年11月,采用人口比例概率抽样法(PPS)在黑龙江省管辖的13个地级市内选择30个调查点,每个调查点中抽取120名当地居住1年以上的20~70岁居民进行甲状腺超声检查。分析不同性别、年龄、地区人群的甲状腺结构异常发生情况。结果共调查当地居民3870例,其中男性1248例、女性2622例,年龄为(48.3±12.6)岁;城市居民2075例、农村居民1795例。共检出甲状腺结构异常者2144例,总检出率为55.40%(2144/3870);其中,甲状腺局灶结节性病变1476例、弥漫性病变359例、弥漫伴局灶结节性病变309例,检出率分别为38.14%、9.28%、7.98%。女性甲状腺结构异常检出率为61.25%(1606/2622),男性为43.11%(538/1248),女性明显高于男性,二者比较差异有统计学意义(χ2=111.899,P<0.01)。不同年龄组间比较,甲状腺结构异常总检出率差异有统计学意义(χ2=185.959,P<0.01);且随着年龄增加,甲状腺结构异常总检出率呈上升趋势(χ2趋势=173.576,P<0.01)。不同地级市间比较,甲状腺结构异常总检出率差异有统计学意义(χ2=108.487,P<0.01);城市与农村间比较,甲状腺结构异常总检出率差异无统计学意义(χ2=0.103,P>0.05)。结论黑龙江省成人甲状腺结构异常以局灶结节性病变为主,女性检出率高于男性,年龄越大检出率越高。不同地级市的居民甲状腺结构异常检出率有差异,但城市与农村之间未见明显差异。
Objective To investigate the adult thyroid structural abnormalities and epidemiological characteristics in different regions of Heilongjiang Province.Methods From December 2017 to November 2018,30 survey sites were selected in 13 prefecture-level cities under the jurisdiction of Heilongjiang Province by the population probability sampling(PPS)method,and 120 local residents aged 20 to 70 who lived for more than 1 year in the local area were selected from each survey site for thyroid ultrasound examination.The occurrence of thyroid structural abnormalities in different genders,ages and regions were analyzed.Results A total of 3870 residents were investigated,including 1248 males and 2622 females,aged(48.3±12.6)years;2075 urban residents and 1795 rural residents.A total of 2144 cases of thyroid structural abnormalities were detected,with a total detection rate of 55.40%(2144/3870);among them,1476 cases of thyroid focal nodular lesions,359 cases of diffuse lesions,and 309 cases of diffuse lesions with focal nodules,the detection rates were 38.14%,9.28%,and 7.98%,respectively.The detection rate of thyroid structural abnormalities was 61.25%(1606/2622)in women and 43.11%(538/1248)in men,the difference was statistically significant(χ2=111.899,P<0.01).There was significant difference in the total detection rate of thyroid structural abnormalities among different age groups(χ2=185.959,P<0.01);and with the increase of age,the total detection rate of thyroid structural abnormalities showed an upward trend(χ2trend=173.576,P<0.01).There was significant difference in the total detection rate of thyroid structural abnormalities in adults among different prefecture-level cities(χ2=108.487,P<0.01);but there was no significant difference in the total detection rate of thyroid structural abnormalities between urban and rural(χ2=0.103,P>0.05).Conclusions The main thyroid structural abnormalities in Heilongjiang Province are focal nodular lesions.The detection rate of women is higher than that of men,and the older the age,the h
作者
郭敏
姚金来
于泽
王璐璐
张立维
董晓秋
Guo Min;Yao Jinlai;Yu Ze;Wang Lulu;Zhang Liwei;Dong Xiaoqiu(Department of Ultrasound,the Fourth Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2020年第8期588-592,共5页
Chinese Journal of Endemiology
基金
黑龙江省自然科学基金重点项目(ZD2017016)。
关键词
甲状腺
成人
超声
流行病学
Thyroid
Adult
Ultrasound
Epidemiology
