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目的了解上海市金山区50岁及以上人群甲状腺结节的患病情况及其影响因素。方法通过分层整群抽样,对金山区2 641名50岁及以上居民进行问卷调查和甲状腺B超检查。结果获得有效问卷2 362份。检查发现甲状腺结节患者960人,患病率为40.6%,其中男性患病率为33.0%,女性患病率为45.5%,两者差异有统计学意义(P<0.05);分年龄段看,50~、60~和70~岁这三个年龄段居民的患病率差异无统计学意义;女性人群中,有吸烟史与饮酒史者的患病率高于没有吸烟史与饮酒史者,差异有统计学意义(P<0.05)。结论上海市金山区50岁及以上人群甲状腺结节患病率较高,需要引起地方卫生行政部门重视,并对该人群开展合理的预防与治疗措施。
Objective To investigate the prevalence and influencing factors of thyroid nodules in people aged 50 years and above in Jinshan District of Shanghai. Methods By stratified cluster sampling, 2 641 residents aged 50 years and over in Jinshan District were surveyed and thyroid ultrasound examination. Results A total of 2 362 valid questionnaires were obtained. Examination found that 960 were thyroid nodules, the prevalence was 40.6%, of which 33.0% prevalence in men and women was 45.5%, the difference was statistically significant (P <0.05); by age There was no significant difference in the prevalence among residents aged 50 ~ 60 and 70 years old among the three age groups. Among the female population, the prevalence of smoking history and drinking history was higher than those without smoking history and drinking history , The difference was statistically significant (P <0.05). Conclusions The prevalence of thyroid nodules in people aged 50 years and over in Jinshan District of Shanghai Municipality is high, which needs to be paid attention to by local health administrative departments and reasonable prevention and treatment measures should be taken for this population.