医护人员健康体检甲状腺结节的流行病学调查

摘要

目的 了解医护人员健康体检甲状腺结节的检出率及其特征.方法 选择在2014年1-12月参加健康体检并行甲状腺高频彩色超声多普勒检查的广州中医药大学第一附属医院医护人员830人,分析其甲状腺结节的检出情况,比较不同性别、年龄患者甲状腺结节的检出率及结节的大小、性质、数目.结果 共检出甲状腺结节384例,其中男123例,女261例,男、女甲状腺结节栓出率分别为40.07％、49.90％,检出率随年龄的增加而升高(P＜o.05);检出单发结节194例(50.52％),多发结节190例(49.48％),随着年龄的增长多发结节的比例逐渐增高;男性和女性患者中,甲状腺结节均以小结节为主;384例患者中有81例(21.09％)发现甲状腺结节钙化灶,其中男28例(34.57％),女53例(65.43％).结论 该院医护人员甲状腺结节的检出率较高,且随着年龄的增长而升高,应将甲状腺彩色超声检查作为常规体检项目之一.%Objective To investigate the detection rate and characteristics of thyroid nodules in medical personnels.Methods A total of 830 medical personnels from the First Affiliated Hospital of Guangzhou University of Chinese Medicine who participated in physical examination and completed thyroid high frequency color Doppler ultrasound examination from January to December 2014 were enrolled in this study.The prevalence rate of thyroid nodules in the 830 medical personnels was investigated.Additionally,the differences in detection rate,size,nature,number of nodules were compared in gender and age.Results A total of 384 thyroid nodules were detected,including 123 males (the detection rate was 40.07％) and 261 females (the detection rate was 49.90％).The detection rate of thyroid nodules was increased with age (P＜0.05).The single nodule was detected in 194 cases (50.52％) of patients,and multiple nodules were present in 190 cases (49.48％) of patients.The proportion of multiple nodules was gradually increased with age.In male and female patients,thyroid nodules were mainly small ones.Among the 384 cases of patients,81 cases (21.09％) were found thyroid nodular calcification,including 28 cases (34.57％) of male patients and 53 cases (65.43 ％) of female patients.Conclusion The detection rate of thyroid nodules of medical personnels in this hospital is high,and the prevalence rate is increased with age.The thyroid color ultrasound should be one of the routine physical examination items.