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目的了解天津市成人甲状腺肿大、甲状腺结节患病情况。方法于2012年采用多阶段随机抽样法抽取天津市4个区县≥18岁居民506名(男186人,女329人),进行甲状腺B超检查。结果甲状腺肿大患病率为4.35%,女性(6.25%)高于男性(1.08%),差异有统计学意义(P<0.05),不同年龄组甲肿患病率差异无统计学意义(P>0.05)。甲状腺结节患病率为27.27%,女性(32.19%)高于男性(18.82%),差异有统计学意义(P<0.05),趋势性卡方检验显示30岁以后结节患病率随年龄增加而升高(P<0.05)。单发、多发结节患病率分别为13.24%、14.03%。结论本次调查的天津市成人甲状腺肿大、甲状腺单发性结节患病率未出现明显升高,但应关注多发性结节的高发。
Objective To understand the prevalence of thyroid gland and thyroid nodules in Tianjin. Methods In 2012, 506 (≥18) residents (186 males and 329 females) from 4 districts and counties in Tianjin were enrolled in this study. The thyroid ultrasound examination was performed by using multistage random sampling. Results The prevalence of goiter was 4.35%, while that of women (6.25%) was higher than that of males (1.08%) (P <0.05). There was no significant difference in the prevalence of goiter among different age groups (P > 0.05). The prevalence of thyroid nodules was 27.27%, while that of females (32.19%) was significantly higher than that of males (18.82%) (P <0.05). The trend chi-square test showed that the prevalence of nodules after 30 years old Increased and increased (P <0.05). Single, multiple nodules prevalence rates were 13.24%, 14.03%. Conclusion The prevalence of thyroid enlargement and thyroid solitary nodules did not show a significant increase in Tianjin. However, the incidence of multiple nodules should be concerned.