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目的分析老年病房住院患者甲状腺结节的患病情况。方法选取2013年1月—2015年10月兰州大学第一医院老年病科住院患者837例,对甲状腺超声检查结果及临床资料进行总结分析。结果 837例患者甲状腺结节检出543例(64.9%);各年龄段患者甲状腺结节检出率比较,差异有统计学意义(P<0.05);男性、女性各年龄段患者甲状腺结节检出率比较,差异有统计学意义(P<0.05);女性患者甲状腺结节检出率高于男性,差异有统计学意义(P<0.05)。各年龄段患者单发、钙化、弥漫性病变甲状腺结节发生率比较,差异无统计学意义(P>0.05);各年龄段患者多发甲状腺结节发生率比较,差异有统计学意义(P<0.05)。甲状腺结节患者促甲状腺激素(TSH)异常率高于无甲状腺结节患者,差异有统计学意义(P<0.05)。年龄、性别、体质指数(BMI)、TSH、舒张压是甲状腺结节的危险因素(P<0.05)。结论老年患者甲状腺结节的患病率较高,多关注老年患者的健康状态,早期诊断、治疗并定期随访可提高老年患者的生活质量。
Objective To analyze the prevalence of thyroid nodules in hospitalized patients in geriatric wards. Methods From January 2013 to October 2015, 837 inpatients with geriatric in Lanzhou University First Hospital were enrolled in this study. The results of thyroid ultrasound examination and clinical data were analyzed. Results There were 543 cases (64.9%) of thyroid nodules in 837 patients. The detection rate of thyroid nodules in all age groups was statistically significant (P <0.05). Thyroid nodules were detected in all age groups The difference was statistically significant (P <0.05). The detection rate of thyroid nodules in female patients was higher than that in men (P <0.05). There was no significant difference in the incidence of thyroid nodules between single-aged, calcified and diffuse lesions in all age groups (P> 0.05). The incidence of multiple thyroid nodules in all age groups was statistically significant (P < 0.05). Thyroid nodules in patients with thyroid-stimulating hormone (TSH) abnormalities were higher than those without thyroid nodules, the difference was statistically significant (P <0.05). Age, sex, body mass index (BMI), TSH and diastolic pressure were the risk factors of thyroid nodules (P <0.05). Conclusion The elderly patients with high prevalence of thyroid nodules, and more attention to the health status of elderly patients, early diagnosis, treatment and regular follow-up can improve the quality of life in elderly patients.