论文部分内容阅读
目的了解黔南地区健康人群甲状腺疾病患病现状及影响因素,为采取干预措施提供参考依据。方法 2012年1月—2015年10月对在贵州省黔南地区某院进行健康体检的19 968名≥18岁人群进行问卷调查、体格检查、实验室检查及B超检查,采用SAS 9.1软件进行统计学分析。结果 19 968名黔南地区健康人群中,甲状腺疾病患病7 892例,患病率为39.42%;7 892例甲状腺疾病患者中,结节性甲状腺肿4 312例(54.64%),甲状腺功能亢进1 983例(25.13%),甲状腺功能减退1 550例(19.64%),甲状腺恶性肿瘤127例(1.61%),甲状腺炎107例(1.36%),甲状腺良性肿瘤93例(1.18%),甲状腺肿物85例(1.08%),其他甲状腺疾病122例(1.55%);多因素非条件logistic回归分析结果显示,女性(OR=5.168)、年龄40~49(OR=3.529)、布依族(OR=3.387)、文化程度小学及以下(OR=3.652)、公务员(OR=3.521)、BMI<18.5 kg/m~2(OR=4.428)、长期睡眠不足(OR=3.032)、长期食用高盐食品(OR=3.634)、日均碘盐摄入量<100μg/L(OR=3.384)、血脂异常(OR=2.314)、血糖异常(OR=2.542)和长期焦虑(OR=3.118)是贵州省黔南地区健康人群甲状腺疾病患病的危险因素。结论黔南地区健康人群甲状腺疾病患病率处于较高水平,应引起高度重视。
Objective To understand the prevalence and influencing factors of thyroid disease in healthy population in southern Guizhou, and to provide reference for the intervention. Methods From January 2012 to October 2015, questionnaires, physical examinations, laboratory tests and B-ultrasound were performed on 19 968 ≥18-year-olds in a hospital in Qiannan district of Guizhou province. SAS 9.1 software was used Statistical analysis. Results Among 19 968 healthy people in southern Guizhou, 7 892 cases of thyroid disease were found, the prevalence was 39.42%. Of the 7 892 cases of thyroid disease, 4212 cases were nodular goiter (54.64%), hyperthyroidism 1 983 (25.13%), hypothyroidism 1550 (19.64%), thyroid malignancies 127 (1.61%), thyroiditis 107 (1.36%), thyroid benign tumors 93 (1.18%), goiter (OR = 5.168), age ranged from 40 to 49 (OR = 3.529), Buyi (OR = 5.168) (OR = 3.387), primary education and below (OR = 3.652), civil servant (OR = 3.521), BMI <18.5 kg / OR = 3.634), the average daily intake of iodized salt <100μg / L (OR = 3.384), dyslipidemia (OR = 2.314), abnormal glucose (OR = 2.542) and long-term anxiety Risk factors for the prevalence of thyroid diseases in healthy local populations. Conclusion The prevalence of thyroid diseases in healthy population in Qiannan is at a high level, which should be paid more attention.