健康体检人群甲状腺结节检出情况及影响因素分析

Analysis on the detection rate of thyroid nodules and its influencing factors in healthy physical examination

通过对5059例健康体检人群的甲状腺结节检出情况及相关影响因素进行分析,为预防甲状腺结节的发生提供理论依据。研究发现,60岁以下各年龄段女性甲状腺结节检出率明显高于男性(均P<0.05),且男性及女性的甲状腺结节检出率均呈现随着年龄的增长而递增(均P<0.001)。logistic回归分析显示,性别、年龄、超重、肥胖、高血压及空腹血糖升高是甲状腺结节发生的危险因素(P<0.001)。健康体检人群中甲状腺结节的检出率较高,改变可控危险因素将有助于降低甲状腺结节发生率。

The purpose of this study was to investigate the detection yield of thyroid nodules and related influencing factors in 5059 health checkup subjects,so as to provide evidence for prevention of thyroid nodules.The study found that the detection yield of thyroid nodules was significantly higher in women than in men under the age of 60(both P<0.05);the detection yield of thyroid nodules increased in both men and women along with age(both P<0.001).Logistic regression analysis showed that gender,age,overweight,obesity,hypertension,and elevated fasting blood glucose were risk factors of thyroid nodules(P<0.001).The detection rate of thyroid nodules appears high in healthy population.Modulation of controllable risk factors may help reduce the occurrence of thyroid nodules.