| 周 磊,李 峰,范茂丹,俞秀霞,史承勇,宋 双,孙国栋.杭州市中青年健康体检人群甲状腺结节检出状况及影响因素分析[J].,2023,(15):2899-2904 |
| 杭州市中青年健康体检人群甲状腺结节检出状况及影响因素分析 |
| Analysis of Thyroid Nodule Detection Rate and Influencing among Young and Middle-aged Healthy Physical Examination Population in Hangzhou |
| 投稿时间：2022-09-30 修订日期：2022-10-26 |
| DOI：10.13241/j.cnki.pmb.2023.15.019 |
| 中文关键词: 甲状腺结节 检出率 体检人群 健康体检 影响因素 |
| 英文关键词: Thyroid nodules Detection rate Physical examination population Health checkup Influencing factors |
| 基金项目:浙江省杭州市科技拥军项目（20210133X04） |
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| 中文摘要: |
| 摘要 目的：调查研究杭州地区中青年健康体检人群甲状腺结节检出情况，分析发病影响因素。方法：回顾性分析2020年1月至2021年12月我院杭州市中青年健康体检者的体检资料，剔除体检信息不全及超声成像不满意者，共1920例纳入此次研究。设计结构化问卷收集体检人群人口学特征、生活方式资料。计算杭州市健康体检人群甲状腺结节检出率，分析甲状腺结节发病影响因素。结果：1920例杭州市中青年健康体检者中，共检出甲状腺结节632例（32.92%）。甲状腺结节发病影响因素的单因素分析发现，甲状腺结节组和非甲状腺结节组在性别、婚姻状况、饮食、运动、吸烟、饮酒、睡眠、体质指数、总胆红素、谷丙转氨酶、高密度脂蛋白胆固醇、空腹血糖等方面比较，差异有统计学意义（P<0.05）。多因素Logistic回归分析显示，性别、婚姻状况、饮食、运动、吸烟、饮酒、睡眠、高密度脂蛋白胆固醇是甲状腺结节发病的独立影响因素（P<0.05）。结论：杭州市中青年健康体检人群甲状腺结节检出率较高，应加强筛查力度，提高健康素养，改变生活方式，降低甲状腺结节的发病率。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and study the prevalence of thyroid nodules among young and middle-aged healthy people in Hangzhou and analyze the influencing factors. Methods: The physical examination data of young and middle-aged healthy people in Hangzhou from January 2020 to December 2021 were retrospectively analyzed. A total of 1920 cases were included in this study, excluding those with incomplete physical examination information and dissatisfied ultrasound imaging. A structured questionnaire was designed to collect demographic characteristics and lifestyle data of physical examination population. Calculate the detection rate of thyroid nodules in healthy people in Hangzhou, and analyze the influencing factors of thyroid nodules. Results: A total of 632 thyroid nodules (32.92%) were detected in 1920 young and middle-aged healthy people in Hangzhou. Univariate analysis of the influencing factors of thyroid nodules found that there were significant differences between the thyroid nodules group and the non thyroid nodules group in gender, marital status, eating habits, sports activities, smoking, alcohol consumption, sleep quality, body mass index, total bilirubin, alanine aminotransferase, high-density lipoprotein cholesterol, fasting blood glucose and other aspects (P<0.05). Multivariate logistic regression analysis showed that gender, marital status, eating habits, sports activities, smoking, alcohol consumption, sleep quality, high-density lipoprotein cholesterol were independent influencing factors of thyroid nodule (P<0.05). Conclusion: The detection rate of thyroid nodules in young and middle-aged healthy people in Hangzhou is high. We should strengthen screening, improve health literacy, change lifestyle, and reduce the incidence rate of thyroid nodules. |
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