健康体检人群甲状腺结节患病率影响因素分析及健康教育干预

Analysis of Factors Influencing the Prevalence of Thyroid Nodule in Healthy Physical Examination Population and Health Education Intervention

目的分析健康体检人群甲状腺结节患病率的影响因素及健康教育干预的具体方式,以降低甲状腺结节的患病率。方法方便选取2017年1—12月在该院行健康体检的4 200名体检人为该次的研究对象,根据甲状腺B超检查结果将人群分为甲状腺结节组与甲状腺结节阴性组,进行数据分析,观察指标包括收缩压、舒张压、血糖、胆固醇以及甘油三酯的水平。结果在总计4 200名体检人数中,甲状腺结节检出患者为1 661例,总患病率为39.5%,其中男性505例,女性1 156例,男性患病率为30.4%,女性患病率为69.6%;且甲状腺结节组人群的收缩压、舒张压、血糖、胆固醇以及甘油三酯的水平明显要高于甲状腺结节阴性组。结论甲状腺结节的患病率与人们的年龄、性别有着相应的联系。另一方面,降低血脂、血糖、血压等体质指数可以成为降低患病率的可控因素,健康教育干预也应该针对这些方面来进行。

Objective To analyze the influencing factors of thyroid nodule prevalence in healthy population and the specificways of intervention in health education to reduce the prevalence of thyroid nodules. Methods A total of 4 200 healthyphysical examination patients from January to December 2017 in the hospital were convenient selected as the subjects ofthis study. According to the results of thyroid B-ultrasound, the patients were divided into thyroid nodule group and negative group, and data analysis was performed to observe the index, including systolic blood pressure, diastolic blood pressure,blood sugar, cholesterol, and triglyceride levels. Results Among 4 200 total physical examinations, 1 661 cases were detected with thyroid nodules, and the total prevalence rate was 39.5%. Among them, 505 were males and 1 156 were females.The prevalence of males was 30.4%. The female prevalence was 69.6%; and thyroid nodule group systolic blood pressure,diastolic blood pressure, blood glucose, cholesterol and triglyceride levels were significantly higher than the thyroid nodulenegative group. Conclusion The prevalence of thyroid nodules is related to people爷s age and sex. On the other hand, lowering the body mass index such as blood lipids, blood glucose, and blood pressure can be a controllable factor in reducing theprevalence rate, and health education interventions should also be conducted in these areas.