合肥市某三级医院医务人员肺结节检出情况及影响因素分析

Status of pulmonary nodule detection and its influencing factors among medical staff of a tertiary hospital in Hefei City

目的了解合肥市某三级医院医务人员肺结节检出率及流行病学特征,并对其相关因素进行分析。方法采用横断面研究方法,选取2021年在中国科学技术大学附属第一医院(安徽省立医院)健康管理中心参加肺部低剂量螺旋CT检查并完成问卷调查的医务人员进行研究。结果3475名体检者共检查肺结节者1280例,检出率36.83%。其中,男性检出率高于女性,分别为45.16%(443/981)和33.56%(837/2494)。在肺结节检出人群中,双侧肺结节人数占比最多,为58.36%(747/1280),左侧肺结节人数占比最低,为13.98%(179/1280)。通过多因素logistic回归分析,发现年龄31~40岁(OR=2.372,95%CI:1.768~3.183)、41~50岁(OR=36.394,95%CI:25.803~51.333)、51~60岁(OR=51.876,95%CI:34.380~78.275)、肺癌家族史(OR=1.521,95%CI:1.056~2.192)、经常头晕或头昏(OR=1.625,95%CI:1.072~2.462)是影响医务人员肺结节检出的独立危险因素(P<0.05)。结论年龄越大、有肺癌家族史的医务人员肺结节检出率越高。经常头晕或头昏作为肺结节的常伴症状需要引起重视。

Objective To investigate the detection rate and epidemiological characteristics of pulmonary nodules among medical professionals in a tertiary hospital in Hefei City,and to analyze the related influencing factors.Methods A cross-sectional study was conducted in medical staff undergoing pulmonary nodule screening using low-dose spiral computed tomography and taking part in completed questionnaire survey in the Health Management Center,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)in 2021.Results A total of 1,280 patients with pulmonary nodules were detected among 3,475 subjects undergoing physical examination,with a positive rate of 36.83%.The detection rate was higher in males(45.16%,443/981)than in females(33.56%,837/2,494).Among the patients with pulmonary nodules detected,patients with bilateral pulmonary nodules accounted for the largest proportion(58.36%,747/1,280),while patients with left pulmonary nodules accounted for the lowest proportion(13.98%,179/1,280).By multivariate logistic regression analysis,it was found that the age of 31-40 years old(OR=2.372,95%CI:1.768-3.183),41-50 years old(OR=36.394,95%CI:25.803-51.333),51-60 years old(OR=51.876,95%CI:34.380-78.275),family history of lung cancer(OR=1.521,95%CI:1.056-2.192)and frequent light-headedness or dizziness(OR=1.625,95%CI:1.072-2.462)were independent risk factors affecting the detection of pulmonary nodules in the medical staff(all P<0.05).Conclusion The detection rate of pulmonary nodules is higher in medical staff with older age and a family history of lung cancer.Special attention should be paid to frequent light-headedness or dizziness as a common symptom of pulmonary nodules.