2015—2019年贵州省健康体检人群胸部阳性征象的构成特点

Analysis of positive chest signs in people received physical check in Guizhou from 2015 to 2019

目的分析2015—2019年贵州省体检人群胸片检出阳性征象的构成特点。方法收集2015年1月—2019年12月健康体检人群胸片报告阳性征象人群的基本资料,按照不同性别、年龄、体检年份分组,分析体检人群胸片阳性征象检出情况、疾病构成及检出率趋势。结果5年内共260962例健康体检者接受普通X线检查,检出阳性病例共38690例(14.83%),男性总阳性征象检出率高于女性(χ^(2)=9.47,P<0.05),随年龄的增长检出阳性率增加(χ^(2)_(趋势)=47938.408,P<0.001),5年内总阳性检出率整体呈增加的趋势(χ^(2)=32.544,P<0.05),阳性征象检出率前3位是主动脉硬化(5.56%)、肺结节(2.41%)、肺部钙化(1.82%);女性主动脉硬化、肺部钙化检出率高于男性,肺结节检出率低于男性(P<0.05);随着年龄的增长阳性检出率呈上升趋势,≥70岁年龄组最高(P<0.001);2015年1月—2019年12月,主动脉硬化检出率呈先上升后逐年下降的趋势(χ^(2)_(趋势)=3.417,P=0.065),肺部钙化检出率呈逐年增加的趋势(χ^(2)_(趋势)=4.867,P=0.027),肺部钙化检出率呈逐年增加的趋势(χ^(2)_(趋势)=4.867,P=0.027)。结论贵州健康体检人群中胸片阳性征象检出前3位依次是主动脉硬化、肺结节以及肺部钙化。

Objective To investigate characteristics of positive signs detected by chest X-ray in people received physical check in Guizhou province from 2015 to 2019.Methods Clinical data of people received physical check from Jan 2015 to Dec 2019 with positive signs in chest X-ray was collected.Such data was grouped according to gender,age and year of physical check in order to analyze detection of positive signs in chest X-ray,diseases and detection rate.Results In the given five years,a total of 260962 people received general X-ray examination,and 38690 cases were detected with positive cases(14.83%).Positive signs detection rate of male was higher than that of female(χ^(2)=9.47,P<0.05),such rate increased with the age getting older(χ^(2)_( trend)=47938.408,P<0.001);total positive detection rate in the given five years showed an increasing trend(χ^(2)=32.544,P<0.05);the top three positive signs were aortic sclerosis(5.56%),pulmonary nodules(2.41%)and pulmonary calcification(1.82%).The detection rate of aortic sclerosis and pulmonary calcification in women was significantly higher than that in men,and the detection rate of pulmonary nodules was slightly lower than that of men(P<0.05);such rate increased with the age getting older,people over or at 70 years old showed the highest positive detection rate(P<0.01).From Jan 2015 to Dec 2019,aortic sclerosis detection rate showed an uprising then yearly decreasing trend(χ^(2) _(trend)=3.417,P=0.065),pulmonary calcification detection rate showed an yearly increase trend(χ^(2)_( trend)=4.867,P=0.027).Conclusion The top three chest positive signs of people received physical check in Guizhou are aortic sclerosis,pulmonary nodules,and pulmonary calcification.