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目的对精神科患者甲状腺彩色多普勒超声结果进行分析,探讨精神科患者甲状腺超声筛查的意义。方法收集2015年6月至8月对150例精神科住院患者(观察组)及150例健康体检者(对照组)的临床资料,对其甲状腺彩色多普勒超声结果进行分析,比较两组甲状腺病变发生率,并对结果的临床意义进行讨论。结果观察组有93例甲状腺结节病例(包括多发与单发),结节发生率为62.0%;对照组有48例甲状腺结节病例,发生率32.0%,两比较存在明显差异(χ~2=27.10,P=0.006)。其中观察组93例甲状腺结节病例中符合甲状腺功能亢进诊断1例,符合甲状腺功能减退3例。结论精神科患者发生甲状腺结节的几率比普通人群高,如果患者合并甲状腺功能异常,在治疗精神疾科疾病的同时须全面系统治疗甲状腺功能亢进或减退,因此精神科患者有必要进行甲状腺彩色多普勒超声筛查。
Objective To analyze the results of thyroid color Doppler ultrasound in psychiatric patients and explore the significance of thyroid ultrasound screening in psychiatric patients. Methods The clinical data of 150 psychiatric inpatients (observation group) and 150 healthy subjects (control group) from June 2015 to August 2015 were collected. The results of thyroid color Doppler ultrasound were analyzed. Thyroid The incidence of lesions, and the clinical significance of the results are discussed. Results There were 93 cases of thyroid nodules in the observation group (including multiple and single cases), the incidence of nodules was 62.0%. There were 48 cases of thyroid nodules in the control group, the incidence was 32.0%, there was significant difference between the two groups (χ ~ 2 = 27.10, P = 0.006). The observation group of 93 cases of thyroid nodules in patients with hyperthyroidism diagnosed in 1 case, in line with hypothyroidism in 3 cases. Conclusions The incidence of thyroid nodules in psychiatric patients is higher than that in the general population. If the patients have thyroid dysfunction, they should treat the diseases of the mental diseases comprehensively and systematically to treat the hyperthyroidism or decrease, so it is necessary for psychiatric patients to have thyroid color Pule ultrasound screening.