摘要
目的探讨甘肃兰州地区中老年体检人群甲状腺功能异常及血脂异常的关系。方法选择2023年3月至2023年12月于甘肃省人民医院参加体检的中老年人群进行回顾性横断面研究。结果①在45岁以上的中老年人群中,甲状腺结节(TN)的检出率为85.74%,甲状腺功能异常的检出率为14.80%,其中亚临床甲状腺功能减退最常见,检出率为13.09%。检出率随着年龄的增加逐渐上升。②对各年龄组进行的分层分析,促甲状腺激素水平随着年龄的增长而逐渐升高。③随着TSH水平的逐渐升高,高TC血症的检出率也逐渐升高,而高TG血症和低HDL-C血症的检出率逐渐降低。结论兰州地区中老年人群甲状腺疾病以甲状腺结节和亚临床甲状腺功能减退(SHYPO)为主,且与血脂异常患病风险存在关联,应对中老年人群甲状腺功能早期检查与干预。
Objective To investigate the relationship between thyroid dysfunction and dyslipidemia in middle-aged and elderly people undergoing physical examination in Lanzhou,Gansu Province.Methods A retrospective cross-sectional study was conducted among the middle-aged and elderly people who participated in medical checkups from March 2023 to December 2023 at Gansu Provincial People's Hospital.Results①The detection rate of thyroid nodules(TN)was 85.74% in middle-aged and elderly people over 45 years old.The detection rate of thyroid function abnormalities was 14.80%;among them,SHYPO was the most common,with a detection rate of 13.09%.The detection rate gradually increased with age.②A stratified analysis of the age groups showed that TSH levels gradually increased with age.③As TSH levels gradually increased,the detection rate of hyper-TCemia gradually increased,while the detection rate of hyper-TGemia and hypo-HDL-Cemia gradually decreased.Conclusion Thyroid diseases in the middle-aged and elderly population in Lanzhou are mainly thyroid nodules and subclinical hypothyroidism(SHYPO),which are associated with the risk of dyslipidemia,so early detection and intervention of thyroid function should be carried out in middle-aged and elderly people.
作者
张文霞
张椿卉
杨晓燕
李星辉
ZHANG Wenxia;ZHANG Chunhui;YANG Xiaoyan;LI Xinghui(Gansu Provincial People's Hospital,Lanzhou 730000;Shandong Second Medical University,Weifang 261000,China)
出处
《中国老年保健医学》
2024年第3期89-92,共4页
Chinese Journal of Geriatric Care
基金
兰州市科技计划项目(项目编号:2023-2-73)。
关键词
中老年人群
甲状腺疾病
血脂异常
middle-aged and elderly population
thyroid disease
dyslipidemia
