论文部分内容阅读
目的调查北京市某社区居民甲状腺结节的患病情况,了解其流行病学特征及其影响因素,为该地区甲状腺疾病的防治工作提供理论基础。方法于2015年6-12月采用分层随机抽样方法抽取北京市万寿路街道办事处所辖的12个社区的成年常住居民600人,通过问卷调查居民基本情况,采用彩色多普勒超声诊断仪测量甲状腺情况,分光光度测定方法检测尿碘含量,应用焦虑自评量表(SAS)评估被调查者焦虑情况,并测量居民身高、体重、血压、血糖和血脂。采用SPSS 19.0统计软件进行统计学分析,计数资料的比较用χ~2检验,甲状腺结节的相关危险因素分析采用单因素和多因素logistic回归分析。结果调查问卷完整且检查项目全面的543名调查对象纳入研究,共检出甲状腺结节患者197例,患病率为36.3%;男性患病率(30.80%)明显低于女性(41.95%),差异有统计学意义(P<0.05);随着年龄增长,甲状腺结节患病率升高,差异有统计学意义(P<0.05)。logistic回归分析结果显示,甲状腺结节危险因素为年龄高(OR=1.10,95%CI:1.03~1.22)、女性(OR=1.71,95%CI:1.54~2.10)、吸烟(OR=1.20,95%CI:1.02~1.43)、超重或肥胖(OR=1.02,95%CI:1.01~1.12)和高血压(OR=1.13,95%CI:1.06~1.21)。结论甲状腺结节在北京市万寿路地区社区居民中患病率较高,女性、年龄高、吸烟、超重或肥胖和高血压人群应加强甲状腺结节的筛查。
Objective To investigate the prevalence of thyroid nodules in a community resident in Beijing, understand its epidemiological characteristics and its influencing factors, and provide a theoretical basis for the prevention and treatment of thyroid diseases in this area. Methods From June to December in 2015, stratified random sampling method was used to draw 600 adult permanent residents in 12 communities under Beijing Wanshoulu Subdistrict Office. By questionnaire survey of residents, color Doppler ultrasonography The thyroid gland was measured. The urinary iodine content was measured by spectrophotometry. Anxiety scale (SAS) was used to evaluate the anxiety of the respondents and the residents’ height, weight, blood pressure, blood glucose and blood lipids were measured. SPSS 19.0 statistical software was used for statistical analysis, the count data were compared using χ ~ 2 test, the risk factors of thyroid nodules were analyzed by single factor and multivariate logistic regression analysis. Results A total of 543 respondents were included in the study. A total of 197 cases of thyroid nodules were detected, with a prevalence of 36.3%. The prevalence of men (30.80%) was significantly lower than that of women (41.95%), The difference was statistically significant (P <0.05). The prevalence of thyroid nodules increased with age, the difference was statistically significant (P <0.05). Logistic regression analysis showed that the risk factors of thyroid nodules were age (OR = 1.10, 95% CI: 1.03-1.22), female (OR = 1.71,95% CI: 1.54-2.10), smoking % CI: 1.02-1.43), overweight or obesity (OR = 1.02, 95% CI: 1.01-1.12) and hypertension (OR = 1.13, 95% CI: 1.06-1.21). Conclusions Thyroid nodules have a higher prevalence among community residents in Wanshou Road in Beijing. Women with high age, smoking, overweight or obesity and hypertension should strengthen thyroid nodules screening.