乳腺增生人群甲状腺结节的发病率及影响因素

发布时间：2019-03-31 11:41

【摘要】：目的探讨女性乳腺增生人群的甲状腺结节发病率及影响因素。方法选取2015年3~6月健康体检的企事业单位的60岁以下女性,超声诊断乳腺增生患者549例,另选取同期体检的企事业单位60岁以下女性经超声检查非乳腺增生女性480例作为对照组,收集体检资料,用t检验、多因素Logistic回归分析方法等分析影响该人群甲状腺结节发病的因素。结果与非乳腺增生组相比,乳腺增生组甲状腺结节的患病率升高,为54.5%(P0.05)。乳腺增生人群中,甲状腺结节组较非结节组年龄较大,TC、LDL水平较高(均P0.05)。经多因素Logistic回归分析显示:年龄(OR∧=1.487,95%CI:1.159,1.625)、TC(OR∧=1.038,95%CI:1.009,1.092)、LDL-C(OR∧=1.296,95%CI:1.067,1.441)是乳腺增生人群甲状腺结节发病的危险因素。结论乳腺增生人群甲状腺结节的患病率随年龄增长而升高,影响其合并甲状腺结节的危险因素包括年龄、总胆固醇和低密度脂蛋白胆固醇。
[Abstract]:Objective to investigate the incidence and influencing factors of thyroid nodules in women with breast hyperplasia. Methods A total of 549 cases of breast hyperplasia were diagnosed by ultrasound in women under 60 years of age who were examined in enterprises and institutions from March to June 2015. In addition, 480 cases of non-mammary hyperplasia women under 60 years of age who were examined by ultrasound were selected as the control group. The data of physical examination were collected and the t-test was used. Multivariate Logistic regression analysis was used to analyze the factors affecting the incidence of thyroid nodules in this population. Results compared with non-hyperplasia group, the prevalence of thyroid nodules in breast hyperplasia group was higher than that in non-hyperplasia group (54.5%, P0.05). In breast hyperplasia group, thyroid nodule group was older than non-nodular group, and TC,LDL level was higher (P0.05). The results of multivariate Logistic regression analysis showed that age (OR A = 1.487,95% CI = 1.159, 1.625), TC (OR A = 1.038, 95% CI = 1.009, 1.092), and age (1. 878, 95% CI = 1. 038, 95% CI = 1. 092). LDL-C (OR A = 1.296,95% CI 1.067, 1.441) was a risk factor for thyroid nodules in patients with breast hyperplasia. Conclusion the prevalence of thyroid nodules in patients with breast hyperplasia increases with age. The risk factors of thyroid nodules associated with thyroid nodules include age, total cholesterol and low density lipoprotein cholesterol (LDL-C).
【作者单位】：华北理工大学研究生院;河北省唐山市工人医院内分泌科;河北省唐山市人民医院体检中心;
【分类号】：R655.8

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