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目的调查甲状腺癌患者与健康体检人群合并代谢综合征的情况,分析甲状腺癌与代谢综合征各组分的关系。方法收集137例甲状腺癌患者作为观察组(甲状腺癌组),同时收集137例甲状腺良性结节患者作为对照组(甲状腺良性结节组),统计二组人群肥胖、高血压、高血脂、糖尿病及糖耐量异常的情况,分析甲状腺癌与代谢综合征的相关关系。结果超重和肥胖者甲状腺癌发病率高于体重正常者,二者比较差异有统计学意义(P<0.05)。高血糖、高血脂、高血压组的甲状腺癌发病率均高于血糖正常、血脂正常、血压正常组,但组间比较差异无统计学意义(P>0.05)。结论甲状腺癌在超重和肥胖者中高发。高血糖、高血脂、高血压患者甲状腺癌的发病率均高于血糖正常、血脂正常、血压正常者,但差异无统计学意义,还需大样本调查证实。
Objective To investigate the status of metabolic syndrome in thyroid cancer patients and healthy people and to analyze the relationship between thyroid cancer and various components of metabolic syndrome. Methods A total of 137 patients with thyroid cancer were collected as the observation group (thyroid cancer group) and 137 benign thyroid nodules were collected as the control group (benign thyroid nodule group). The obesity, hypertension, hyperlipemia, diabetes mellitus, Impaired glucose tolerance, thyroid cancer and metabolic syndrome analysis of the relationship. Results The incidence of thyroid cancer in overweight and obese people was higher than that in normal weight people, the difference was statistically significant (P <0.05). The incidence of thyroid cancer in hyperglycemia, hyperlipidemia and hypertension group was higher than that in normal blood glucose, normal blood lipid and normal blood pressure group, but there was no significant difference between the two groups (P> 0.05). Conclusions Thyroid cancer is high in overweight and obese people. The incidence of thyroid cancer in patients with hyperglycemia, hyperlipidemia and hypertension were higher than those with normal blood glucose, normal blood lipids, and normal blood pressure, but the difference was not statistically significant. Large sample survey confirmed.