| 李美莺,李俊雄,章丽洁,陈燕君,万光升,金彩凤,戴莉.上海市普陀区在职教师甲状腺结节流行状况调查及影响因素分析[J].实用中西医结合临床,2020,20(9): |
| 上海市普陀区在职教师甲状腺结节流行状况调查及影响因素分析 |
| Prevalence of thyroid nodule among teachers in Putuo District of ShanghaiMeiying Li*,Junxiong Li, Lijie Zhang, Yanjun Chen, Guangsheng Wang, Caifeng Jin,Li Dai** |
| 投稿时间：2020-03-09 修订日期：2020-04-08 |
| DOI： |
| 中文关键词: 在职教师 甲状腺结节 体检 危险因素 |
| 英文关键词: in-service teacher thyroid nodule physical examination risk factors |
| 基金项目:上海市普陀区中心医院培英人才项目(No.2017211B) |
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| 中文摘要: |
| 目的 调查上海市普陀区在职教师体检人群中甲状腺结节检出状况并分析导致结节产生的可能影响因素。方法 采用横断面研究方法,选取2018年1月至2018年12月于上海中医药大学附属普陀医院体检站进行体检的普陀区在职教师1755人次进行甲状腺超声和血生化检查,同时收集工作岗位、精神压力、睡眠情况等信息。结果 在职教师甲状腺结节患病率为68.60% (1204/1755),结节大小在2mm×1mm～43mm×38mm范围内,多发854例(占70.93%)明显多于单发350例(占29.07%),其中双叶结节、实性结节较为多见。男性患病率56.20% (453/806),女性患病率79.14%(751/949),明显高于男性(χ2＝106.415,P<0.001)。甲状腺结节患病率随年龄的增长而升高,大于51岁患病率最高,为77.78%(χ2＝145.620,P<0.001),不同性别患病率均随年龄增长而升高(P<0.001),所有年龄段中女性患病率均高于男性,差异有统计学意义(P＜0.05)。不同岗位间患病率差异无统计学意义(P＞0.05)。Logistic回归分析显示：性别(OR＝2.836,95%CI：2.149～3.743)、年龄(OR＝1.736,95％CI：1.500～2.008)、岗位(OR＝1.945,95%CI：1.722～2.196)、血糖(OR＝3.369,95%CI：1.822～6.229)、精神压力(OR＝9.884,95%CI：6.289～15.532)、血脂(OR＝9.121,95%CI：4.897～16.988)、睡眠情况(OR＝9.513,95%CI：6.322～14.313)是甲状腺结节患病的危险因素。结论 上海市普陀区在职教师甲状腺结节患病率较高,女性高于男性,随着年龄的增长睡眠质量、生活压力、等是甲状腺结节患病的危险因素。倡导教师在工作中合理安排工作事务,树立健康管理观念,提高健康管理水平。 |
| 英文摘要: |
| [Objective] to investigate the prevalence and influencing factors of thyroid nodule in physical examination population of teachers in Putuo District of Shanghai. Methods a cross-sectional study was carried out among 1755 teachers in Putuo District who were examined at the physical examination station of Putuo Hospital Affiliated to Shanghai University of traditional Chinese medicine from January 2018 to December 2018. Meanwhile, information such as posts, mental pressure and sleep status were collected. Results the prevalence of thyroid nodule was 68.60% (1204/1755), the size of nodule was 2 mm × 1 mm ~ 43 mm × 38 mm, the number of multiple cases was 854 (70.93%), which was significantly higher than that of single case 350 (29.07%). The prevalence of male was 56.20% (453/806), female was 79.14% (751/949), and female was significantly higher than male (χ2 = 106.415, P<0.001). The prevalence of thyroid nodule increases with the increase of age. The highest prevalence of thyroid nodule was 77.78% (χ2 = 145.620, P < 0.001). The prevalence of different genders also increases with the increase of age (P < 0.001). The prevalence of female in each age group was higher than that of male. The difference was statistically significant (P < 0.05). There was no significant difference in the prevalence among different posts (P > 0.05). Logistic regression analysis showed that: gender (OR = 2.836, 95% CI: 2.149-3.743), age (OR = 1.736, 95% CI: 1.500-2.008), post (OR = 1.945, 95% CI: 1.722-2.196), blood glucose (OR = 3.369, 95% CI: 1.822-6.229), mental pressure (OR = 9.884, 95% CI: 6.289-15.532), blood lipid (OR = 9.121, 95% CI: 4.897-16.988), sleep (OR = 9.513, 95% CI: 6.322-14.313) was the impact factor of thyroid nodule. [Conclusion] the prevalence of thyroid nodule in teachers in Putuo District of Shanghai is high, the occurrence in woman is higher than that in men. Sleep quality, life stress and so on are the risk factors of thyroid nodule. We should encourage teachers to arrange work affairs reasonably, establish the concept of health management and improve the level of health management. |
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