体检人群脂肪肝与甲状腺结节的相关性

发布时间：2018-12-14 01:39

【摘要】：目的探讨脂肪肝与甲状腺结节之间的相关性。方法于某三甲医院体检科参加健康体检的衡水市职工21 916例,行腹部超声、甲状腺超声检查及肝肾功能、血糖、血脂检测。结果 1甲状腺结节患病率31.70%、脂肪肝患病率29.03%、两病共患的患病率为9.54%。2脂肪肝组甲状腺结节患病率(32.86%)明显低于非脂肪肝组(31.23%)(P=0.018)。3甲状腺结节男性患病率(26.94%)明显低于女性(37.72%)(P=0.000);脂肪肝男性患病率(36.84%)明显高于女性(17.83%)(P=0.000);两病共患中男性患病率(5.70%)明显高于女性(3.84%)(P=0.000)。4甲状腺结节患病率随年龄增长逐渐升高,60岁患病率最高,达到48.84%;脂肪肝及两病共患随年龄增长患病率也在逐渐升高,但60岁反而较50~60岁年龄组下降(P=0.000)。5不同职业人群中,专业技术人员甲状腺结节患病率最高(33.73%),国家机关人员次之(33.47%),脂肪肝、两病共患患病率均为国家机关人员最高,分别为35.29%、11.93%(P=0.000)。6多因素Logistic回归分析显示:性别(OR=2.075,95%CI:1.947~2.210)、年龄(OR=1.540,95%CI:1.496~1.585)、脂肪肝(OR=1.171,95%CI:1.092~1.256)可能是患甲状腺结节的独立危险因素。结论衡水市职工脂肪肝个体甲状腺结节的患病率增高,脂肪肝可能是甲状腺结节患病的独立危险因素。
[Abstract]:Objective to investigate the correlation between fatty liver and thyroid nodules. Methods 21,916 workers in Hengshui City were examined by abdominal ultrasound, thyroid ultrasound, liver and kidney function, blood glucose and blood lipid. Results 1 the prevalence of thyroid nodule and fatty liver were 31.70 and 29.03, respectively. The prevalence of thyroid nodules in fatty liver group (32.86%) was significantly lower than that in non-fatty liver group (31.23%) (P < 0.018). ) was significantly lower than that in women (37.72%) (P = 0.000). The prevalence of fatty liver in males (36.84%) was significantly higher than that in females (17.83%) (P0. 000). The prevalence of thyroid nodules in males (5.70%) was significantly higher than that in females (3.84%) (P0. 000). The prevalence rate of fatty liver and two diseases increased gradually with the increase of age, but the prevalence rate of thyroid nodules in 60 years old was lower than that in 50 ~ 60 years old group (P0. 000). 5 among different occupational groups, the prevalence rate of thyroid nodules in professional and technical personnel was the highest (33.73%). The prevalence rate of fatty liver was the highest among state officials (33.47%), and the prevalence rate of fatty liver was 35.29%. 6 multivariate Logistic regression analysis showed that: sex (OR=2.075,95%CI:1.947~2.210), age (OR=1.540,95%CI:1.496~1.585), sex (OR=1.540,95%CI:1.496~1.585), age (OR=1.540,95%CI:1.496~1.585). Fatty liver (OR=1.171,95%CI:1.092~1.256) may be an independent risk factor for thyroid nodules. Conclusion the prevalence of thyroid nodules in workers with fatty liver in Hengshui City is higher. Fatty liver may be an independent risk factor for thyroid nodules.
【作者单位】：哈励逊国际和平医院体检科;
【基金】：衡水市科技局科学技术研究与发展计划项目(No.13006A)
【分类号】：R575.5;R581

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