武汉某高校教职工甲状腺健康状况调查及相关因素分析

Investigation of Thyroid Health Status and Its Related Factors in a College Faculty in Wuhan

目的:调查武汉某高校教职工甲状腺健康状况,对其相关因素进行分析。方法:收集整理2015年4-12月在武汉某高校医院进行职工体检的本校教职工1323例健康检查资料及问卷调查,进行汇总分析,分别统计甲状腺癌、腺瘤、结节、甲状腺实质弥漫性病变等发病率,依据其他健康检查项目、问卷项目及跟踪回访,并通过多因素Logistic回归分析影响甲状腺疾病发病的危险因素。结果:受检教职工甲状腺疾病的总检出率为42.71%,男性与女性的检出率分别为39.03%、47.76%。随年龄增长,甲状腺异常检出率呈显著升高趋势,对比各年龄段,女性检出率均明显高于男性(P<0.01)。另甲状腺异常检出率与碘摄入量、工作压力及电离辐射有相关性,差异均有统计意义(P<0.05)。结论:武汉某高校教职工甲状腺疾病检出率较高,倡导教职工合理膳食、保持良好心态,远离污染,做好自我保健。

Objective：To investigate the thyroid health status of faculty in a university in Wuhan,and analyze the related factors.Method：The data and questionnaire survey of 1323 cases of health examination of the staff and workers of a university hospital in Wuhan from April 2015 to December 2015,made a summary analysis,the incidence rate of thyroid carcinoma,adenoma,nodule,and diffuse disease of the thyroid gland were calculated respectively,and according to other health examination items,questionnaire items and follow-up visits,analyzed the risk factors of thyroid diseases by Logistic regression.Result：The total detection rate of thyroid disease subjects staff was 42.71%,male and female detection rates were 39.03% and 47.76%.The prevalence of thyroid showed a significant increasing trend with age,compared with the age groups,the detection rate of women were all significantly higher than those of men（P〈0.01）.There were correlation between the prevalence of thyroid and iodine intake,working pressure and ionizing radiation,and the difference were statistically significant（P〈0.05）.Conclusion：The rate of thyroid disease with the faculty of a university in Wuhan in a higher detection,advocate a reasonable diet,to maintain a good attitude,away from pollution,do a good job of self care.