社区卫生服务中心就诊患者甲状腺结节检出率和甲状腺功能调查分析

发布时间：2019-04-04 14:10

【摘要】：目的了解社区卫生服务中心门诊就诊患者甲状腺结节检出率及甲状腺功能情况。方法选取2015年3月—2016年6月北京市朝阳区团结湖社区卫生服务中心就诊并接受过甲状腺B超检查的患者488例,检测有无甲状腺结节,其中256例接受甲状腺功能筛查。结果 488例患者中共检出甲状腺结节316例,检出率为64.8%,其中男45例,女271例,男性检出率为68.2%(45/66),女性检出率为64.2%(271/422)。男性与女性甲状腺结节检出率比较,差异无统计学意义(χ~2=0.393,P=0.531)。单发结节146例(46.2%),多发结节170例(53.8%)。不同性别甲状腺结节检出情况比较,差异无统计学意义(χ~2=0.742,P=0.690)。不同年龄组甲状腺结节检出情况比较,差异有统计学意义(χ~2=43.127,P0.01);其中中年人组、老年人组无结节检出率较年轻人组降低,老年人组无结节检出率较中年人组降低(P0.01);3组单发结节检出率比较,差异无统计学意义(P0.05);老年人组多发结节检出率较年轻人组和中年人组升高(P0.01)。256例接受甲状腺功能检查的患者中,无结节组90例,单发结节组76例,多发结节组90例。3组三碘甲状腺原氨酸(T_3)、甲状腺素(T_4)、游离三碘甲状腺原氨酸(FT_3)、游离甲状腺素(FT_4)水平比较,差异均无统计学意义(P0.05);3组促甲状腺激素(TSH)水平比较,差异有统计学意义(P0.05);其中多发结节组TSH水平较无结节组和单发结节组降低(P0.05)。结论北京市朝阳区团结湖社区卫生服务中心就诊患者甲状腺结节检出率较高,甲状腺结节检出率随着年龄的增大而逐渐增加,尤其是多发结节,在临床工作中应引起注意。
[Abstract]:Objective to investigate the detection rate of thyroid nodules and thyroid function in outpatients of community health service center. Methods from March 2015 to June 2016, 488 patients from Tuanjiehu Community Health Service Center, Chaoyang District, Beijing, who had received thyroid ultrasound examination, were examined for thyroid nodules and 256 of them were screened for thyroid function. Results A total of 316 cases of thyroid nodules were detected in 488 patients (64.8%), including 45 males and 271 females. The positive rates were 68.2% (45 / 66) for males and 64.2% (271 / 422) for females. There was no significant difference in the detection rate of thyroid nodules between male and female (蠂 ~ 2 / 0.393, P = 0.531). There were 146 single nodules (46.2%) and 170 multiple nodules (53.8%). There was no significant difference in the detection of thyroid nodules between different sexes (蠂 ~ 2 = 0.742, P = 0.690). There was a significant difference in the detection of thyroid nodules in different age groups (蠂 ~ 2 / 43.127, P0.01). Among them, the detection rate of no nodules in the elderly group was lower than that in the young group, and that in the elderly group was lower than that in the middle-aged group (P0.01), and there was no significant difference in the detection rate of single nodules among the three groups (P0.05). The detection rate of multiple nodules in the elderly group was higher than that in the young group and the middle-aged group (P0.01). Of the 256 patients who underwent thyroid function examination, 90 were in the non-nodular group and 76 in the singleton nodule group. The levels of triiodothyronine (T), thyroxine (T), free triiodothyronine (FT_3) and free thyroxine (FT_4) in 3 groups were compared. There was no significant difference between the two groups (P0.05). There was a significant difference in (TSH) level among the three groups (P0.05), and the level of TSH in the multiple nodular group was lower than that in the non-nodular group and the single nodular group (P0.05). Conclusion the detection rate of thyroid nodules is higher in Tuanjianhu Community Health Service Center of Chaoyang District, Beijing. The detection rate of thyroid nodules increases gradually with the increase of age, especially the multiple nodules, which should be paid attention to in clinical work.
【作者单位】：北京市朝阳区团结湖社区卫生服务中心全科;首都医科大学附属北京同仁医院内分泌科;
【基金】：首都卫生发展科研专项(2016-1-2057,2016-2-2054) 首都临床特色应用研究项目(Z151100004015021)
【分类号】：R581

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