1956例中老年人体检甲状腺结节流行病学调查

Epidemiological study of thyroid nodules in 1956 middle⁃aged and elderly people

目的探讨兰州市中老年人群B超检查中甲状腺结节的检出情况,及结节与甲状腺功能的关系。方法回顾性分析2022年4月至2023年10月1956例甘肃省兰州市中老年体检者检测血清甲状腺相关激素及抗体、生化检查及体格检查等指标,并结合B超甲状腺结节的检出情况进行分析。结果本组研究对象甲状腺结节检出率为50.1%。结节组和非结节组比较性别、年龄、血糖及血清ATg及ATpo,差异有统计学意义(P<0.001);中老年人群的甲状腺结节病发的危险因素包括高龄、女性、BMI高、高血糖以及高血压,差异均有统计学意义(P<0.001)。结论高龄、女性、BMI高、高血糖、高血压等可能使甲状腺结节患病风险提高,临床上应注意对高危人群实施干预措施,以降低发病率。

Objective To investigate the detection of thyroid nodules in ultrasound examination of middle⁃aged and elderly peo⁃ple in Lanzhou City,and the relationship between nodules and thyroid function.Methods A retrospective analysis was performed from April 2022 to October 2023 on the included 1956 cases of middle⁃aged and elderly medical check⁃ups in Lanzhou City,who were tested for serum thyroid⁃related hormones and antibodies,biochemical examination and physical examination,and analyzed in conjunction with the detection of thyroid nodules in ultrasound examination.Results The detection rate of thyroid nodules in this study group was 50.1%.Comparing gender,age,blood glucose and serum ATg and ATpo between nodule group and non⁃nodule group,the differences were statistically significant(P<0.001);advanced age,female,metabolic syndrome,high BMI,were the risk factors affecting the occurrence of thyroid nodules in middle⁃aged and elderly people,and the differences were statistically significant(P<0.001).Conclusion As the detection rate of thyroid nodules increases with age,and as advanced age,female gender,high BMI,hyperglycemia,and hypertension may increase the risk of thyroid nodule detection,clinical attention should be paid to the im⁃plementation of appropriate interventions for the relevant high⁃risk groups to reduce the morbidity rate.