健康体检人群甲状腺结节患病率影响因素分析及健康教育干预(1)
[摘要] 目的 分析健康体检人群甲状腺结节患病率的影响因素及健康教育干预的具体方式，以降低甲状腺结节的患病率。 方法 方便选取2017年1—12月在该院行健康体检的4 200名体检人为该次的研究对象，根据甲状腺B超检查结果将人群分为甲状腺结节组与甲状腺结节阴性组，进行数据分析，观察指标包括收缩压、舒张压、血糖、胆固醇以及甘油三酯的水平。 结果 在总计4 200名体检人数中，甲状腺结节检出患者为1 661例，总患病率为39.5%，其中男性505例，女性1 156例，男性患病率為30.4%，女性患病率为69.6%;且甲状腺结节组人群的收缩压、舒张压、血糖、胆固醇以及甘油三酯的水平明显要高于甲状腺结节阴性组。 结论 甲状腺结节的患病率与人们的年龄、性别有着相应的联系。另一方面，降低血脂、血糖、血压等体质指数可以成为降低患病率的可控因素，健康教育干预也应该针对这些方面来进行。
[关键词] 健康体检;甲状腺结节;患病率;影响因素;健康教育干预
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2018)08(c)-0048-03
Analysis of Factors Influencing the Prevalence of Thyroid Nodule in Healthy Physical Examination Population and Health Education Intervention
ZHANG Zhi-hong
The First Affiliated Hospital， Baotou Medical College， Inner Mongolia University of Science and Technology， Baotou， Inner Mongolia， 014010 China
[Abstract] Objective To analyze the influencing factors of thyroid nodule prevalence in healthy population and the specific ways of intervention in health education to reduce the prevalence of thyroid nodules. Methods A total of 4 200 healthy physical examination patients from January to December 2017 in the hospital were convenient selected as the subjects of this study. According to the results of thyroid B-ultrasound， the patients were divided into thyroid nodule group and negative group， and data analysis was performed to observe the index， including systolic blood pressure， diastolic blood pressure， blood sugar， cholesterol， and triglyceride levels. Results Among 4 200 total physical examinations， 1 661 cases were detected with thyroid nodules， and the total prevalence rate was 39.5%. Among them， 505 were males and 1 156 were females. The prevalence of males was 30.4%. The female prevalence was 69.6%; and thyroid nodule group systolic blood pressure， diastolic blood pressure， blood glucose， cholesterol and triglyceride levels were significantly higher than the thyroid nodule negative group. Conclusion The prevalence of thyroid nodules is related to people’s age and sex. On the other hand， lowering the body mass index such as blood lipids， blood glucose， and blood pressure can be a controllable factor in reducing the prevalence rate， and health education interventions should also be conducted in these areas.
[Key words] Health examination; Thyroid nodule; Prevalence rate; Influencing factors; Health education intervention
甲状腺结节是甲状腺内的肿块会随着吞咽动作随甲状腺移动，为临床常见病症。该病多发于中年女性，主要病因包括碘摄入量异常、肿瘤性结节和炎症性结节。患者通常表现为结节性甲状囊肿和炎性结节。近年来这项疾病的患病率有明显升高趋势，因此进一步了解体检人群中甲状腺结节的患病率和影响因素，对于今后的社区卫生工作具有重要的意义，也为健康教育工作提供数据支持和理论依据[1]。该次方便选取2017年1—12月在该院行健康体检的4 200名体检人为研究对象，现将结果报道如下。, 百拇医药(张志红)
[关键词] 健康体检;甲状腺结节;患病率;影响因素;健康教育干预
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2018)08(c)-0048-03
Analysis of Factors Influencing the Prevalence of Thyroid Nodule in Healthy Physical Examination Population and Health Education Intervention
ZHANG Zhi-hong
The First Affiliated Hospital， Baotou Medical College， Inner Mongolia University of Science and Technology， Baotou， Inner Mongolia， 014010 China
[Abstract] Objective To analyze the influencing factors of thyroid nodule prevalence in healthy population and the specific ways of intervention in health education to reduce the prevalence of thyroid nodules. Methods A total of 4 200 healthy physical examination patients from January to December 2017 in the hospital were convenient selected as the subjects of this study. According to the results of thyroid B-ultrasound， the patients were divided into thyroid nodule group and negative group， and data analysis was performed to observe the index， including systolic blood pressure， diastolic blood pressure， blood sugar， cholesterol， and triglyceride levels. Results Among 4 200 total physical examinations， 1 661 cases were detected with thyroid nodules， and the total prevalence rate was 39.5%. Among them， 505 were males and 1 156 were females. The prevalence of males was 30.4%. The female prevalence was 69.6%; and thyroid nodule group systolic blood pressure， diastolic blood pressure， blood glucose， cholesterol and triglyceride levels were significantly higher than the thyroid nodule negative group. Conclusion The prevalence of thyroid nodules is related to people’s age and sex. On the other hand， lowering the body mass index such as blood lipids， blood glucose， and blood pressure can be a controllable factor in reducing the prevalence rate， and health education interventions should also be conducted in these areas.
[Key words] Health examination; Thyroid nodule; Prevalence rate; Influencing factors; Health education intervention
甲状腺结节是甲状腺内的肿块会随着吞咽动作随甲状腺移动，为临床常见病症。该病多发于中年女性，主要病因包括碘摄入量异常、肿瘤性结节和炎症性结节。患者通常表现为结节性甲状囊肿和炎性结节。近年来这项疾病的患病率有明显升高趋势，因此进一步了解体检人群中甲状腺结节的患病率和影响因素，对于今后的社区卫生工作具有重要的意义，也为健康教育工作提供数据支持和理论依据[1]。该次方便选取2017年1—12月在该院行健康体检的4 200名体检人为研究对象，现将结果报道如下。, 百拇医药(张志红)