Prevalence of Thyroid Nodules and Its Influencing Factors among Medical Staff of a Hospital in Hengshui_West China Medical Journal

Authors：

 HanYichao ,  ZhangXugang , PengYe , ZhenPing , SunHongxia , WangXuejing

Department of Physical Examination, Harrison International Peace Hospital, Hengshui, Hebei 053000, P. R. China;

Corresponding?author：

ZhangXugang, Email: hsszxg5579@sina.com

Keywords：

Thyroid nodule; Prevalence; Epidemiological factors; Medical staff

DOI：

10.7507/1002-0179.201600504

Video：

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Objective To investigate the prevalence of thyroid nodules and its influencing factors among medical staff of a hospital in Hengshui. Methods A total of 2 190 medical workers in a hospital in Hengshui who underwent physical examinations in the Medical Examination Center of Harrison International Peace Hospital from January 2012 to July 2013 were included as the study subjects. Through physical examination, thyroid ultrasonography and questionnaire, we collected data and investigated the prevalence of thyroid nodules and its influencing factors. Results The prevalence rate of thyroid nodules was 39.45% (864/2 190) in these medical staff. The prevalence rates of thyroid nodules in males and females were 32.34% (238/736) and 42.92% (624/1 454), respectively, with statistically significant difference between them (χ²=22.913, P<0.001). With increasing age, the prevalence of thyroid nodules increased gradually, and the prevalence of the same sex increased gradually too (P<0.001). The prevalence rate of women was significantly higher than that of men for each age group (P<0.05). Among the 864 subjects, there were 550 (63.66%) with multiple nodules and 314 (36.34%) with solitary nodules; there were 454 (52.55%) with nodules in both lobes of thyroid, 238 (27.54%) with nodules in the right lobe of thyroid, and 172 (19.91%) with nodules in the left lobe of thyroid; there were 504 (58.33%) with solid modules, 172 (19.91%) with cystic nodules, 114 (13.19%) with solid and cystic nodules, and 74 (8.56%) with calcification. Logistic regression analysis showed that gender, age, educational degree, drinking history, taste habit, stress, agitation were correlated with the development of thyroid nodules. Conclusion The prevalence of thyroid nodules is high among medical staff of this hospital. Thyroid nodules can be prevented through healthy lifestyle, limiting alcohol intake, emotional control, and relieving stress. Early diagnosis and early treatment should be done to prevent the development and spread of thyroid nodules.

Citation： HanYichao, ZhangXugang, PengYe, ZhenPing, SunHongxia, WangXuejing. Prevalence of Thyroid Nodules and Its Influencing Factors among Medical Staff of a Hospital in Hengshui. West China Medical Journal, 2016, 31(11): 1837-1841. doi: 10.7507/1002-0179.201600504 Copy

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12.	施秉銀. 甲狀腺結節性質評估的未盡探索[J].中華內分泌代謝雜志, 2013, 29(7):545-547.
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14.	袁君君, 錢明. 健康體檢人群甲狀腺結節患病情況調查[J].中外醫學研究, 2011, 9(29):74-75.
15.	徐厚蘭, 崔焱, 蘭滿, 等. 健康體檢人群甲狀腺結節患病率影響因素分析及健康教育干預[J].護士進修雜志, 2013, 28(18):1662-1664.
16.	楊麗明. 健康體檢人群甲狀腺結節患病率分析及意義[J].中國實用醫藥, 2013, 8(8):89-90.

1. 湯祎, 高貴留, 李光善. 威海市甲狀腺結節發病特點研究[J].中國實用醫藥, 2010, 5(31):54-55.
2. 冷松, 劉穎, 劉海霞, 等. 大連市健康體檢成人甲狀腺結節流行病學研究[J].醫學與哲學, 2011, 32(8):22-24.
3. 陳文斌, 潘祥林. 診斷學[M].6版. 北京:人民衛生出版社, 2006:75-575.
4. 中華醫學會肝臟病學分會脂肪肝和酒精性肝病學組. 非酒精性脂肪性肝病診斷標準[J].中華肝臟病雜志, 2003, 11(2):71.
5. 孟召偉, 譚建. 解讀美國甲狀腺協會2009年甲狀腺結節和分化型甲狀腺癌診治指南[J].國際內分泌代謝雜志, 2010, 30(5):349-352.
6. 詹維偉. 甲狀腺結節的超聲診斷進展[J/CD].中華醫學超聲雜志:電子版, 2011, 8(6):1170-1179.
7. 張波, 姜玉新, 戴晴, 等. 前瞻性觀察甲狀腺結節的SonoVue超聲造影增強模式[J].中國醫學影像技術, 2010, 26(5):844-847.
8. 韓軼超, 張旭剛, 彭曄, 等. 衡水市不同職業人群甲狀腺結節患病率的流行病學調查[J].現代預防醫學, 2014, 41(21):3845-3846, 3864.
9. 王平, 劉敏, 倪金玲. 某企業醫院在職職工甲狀腺結節的流行病學特點[J].中國臨床研究, 2011, 24(2):150-151.
10. 莫哲, 丁鋼強, 樓曉明, 等. 浙江省不同地區居民甲狀腺結節狀況及相關因素分析[J].中華預防醫學雜志, 2011, 45(5):474-476.
11. 邱蕾, 孫明曉, 汪耀, 等. 中年至超高齡老年人甲狀腺結節的發病特點[J].中華內分泌代謝雜志, 2014, 30(2):115-118.
12. 施秉銀. 甲狀腺結節性質評估的未盡探索[J].中華內分泌代謝雜志, 2013, 29(7):545-547.
13. Karger S, Sch?tz S, Stumvoll M, et al. Impact of pregnancy on prevalence of goitre and nodular thyroid disease in women living in a region of borderline sufficient Iodine supply[J].Horm Metab Res, 2010, 42(2):137-142.
14. 袁君君, 錢明. 健康體檢人群甲狀腺結節患病情況調查[J].中外醫學研究, 2011, 9(29):74-75.
15. 徐厚蘭, 崔焱, 蘭滿, 等. 健康體檢人群甲狀腺結節患病率影響因素分析及健康教育干預[J].護士進修雜志, 2013, 28(18):1662-1664.
16. 楊麗明. 健康體檢人群甲狀腺結節患病率分析及意義[J].中國實用醫藥, 2013, 8(8):89-90.

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Prevalence of Thyroid Nodules and Its Influencing Factors among Medical Staff of a Hospital in Hengshui

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