武汉某高校教职工甲状腺健康状况调查及相关因素分析

摘要

Objective:To investigate the thyroid health status of faculty in a university in Wuhan,and analyze the related factors.Method:The data and questionnaire survey of 1323 cases of health examination of the staff and workers of a university hospital in Wuhan from April 2015 to December 2015,made a summary analysis,the incidence rate of thyroid carcinoma,adenoma,nodule,and diffuse disease of the thyroid gland were calculated respectively,and according to other health examination items,questionnaire items and follow-up visits,analyzed the risk factors of thyroid diseases by Logistic regression.Result:The total detection rate of thyroid disease subjects staff was 42.71%,male and female detection rates were 39.03% and 47.76%.The prevalence of thyroid showed a significant increasing trend with age,compared with the age groups,the detection rate of women were all significantly higher than those of men(P<0.01).There were correlation between the prevalence of thyroid and iodine intake,working pressure and ionizing radiation,and the difference were statistically significant (P<0.05).Conclusion:The rate of thyroid disease with the faculty of a university in Wuhan in a higher detection, advocate a reasonable diet,to maintain a good attitude,away from pollution,do a good job of self care.%目的：调查武汉某高校教职工甲状腺健康状况，对其相关因素进行分析。方法：收集整理2015年4-12月在武汉某高校医院进行职工体检的本校教职工1323例健康检查资料及问卷调查，进行汇总分析，分别统计甲状腺癌、腺瘤、结节、甲状腺实质弥漫性病变等发病率，依据其他健康检查项目、问卷项目及跟踪回访，并通过多因素Logistic回归分析影响甲状腺疾病发病的危险因素。结果：受检教职工甲状腺疾病的总检出率为42.71%，男性与女性的检出率分别为39.03%、47.76%。随年龄增长，甲状腺异常检出率呈显著升高趋势，对比各年龄段，女性检出率均明显高于男性（P<0.01）。另甲状腺异常检出率与碘摄入量、工作压力及电离辐射有相关性，差异均有统计意义（P<0.05）。结论：武汉某高校教职工甲状腺疾病检出率较高，倡导教职工合理膳食、保持良好心态，远离污染，做好自我保健。