摘要
目的:观察深圳市第二人民医院医务工作者的甲状腺结节检查情况,并分析其相关影响因素。方法:回顾性分析深圳市第二人民医院医务工作者2020年1月至2020年12月期间的体检资料,纳入体检资料完备的医务工作者749例,统计分析医务工作者甲状腺结节超声检查情况与甲状腺功能、血糖、血脂、血压、体质量指数(BMI)、工作岗位及职称等因素的相关性。结果:深圳市第二人民医院职工甲状腺结节超声检出率为43.66%,女性甲状腺结节检出率高于男性,高级职称员工的检出率高于初、中级职称;45~55岁组与<35岁组相比,甲状腺结节检出率更高,>55岁组分别与<35岁组、35~45岁组相比,甲状腺结节检出率检均更高,差异均具有统计学意义(P<0.05);多因素logistic回归分析结果显示,年龄、舒张压(DBP)、BMI及总胆固醇(TC)为甲状腺结节的独立危险因素(P<0.05)。结论:深圳市第二人民医院医务工作者的甲状腺结节检出率与年龄、血脂、血压及BMI相关,高级职称者的甲状腺结节检出率更高,可能与其承受着更多的精神与工作压力相关。因此有必要针对不同层次的医务工作者制定适宜的随访计划,并给予生活指导及压力疏导。
Objective To observe the examination status of thyroid nodules among medical workers Shenzhen Second People’s Hospital,and analyze the related influencing factors.Methods The physical examination data of medical workers in Shenzhen Second People’s Hospital of Shenzhen from January 2020 to December 2020 were retrospectively analyzed.A total of 749 medical workers with complete physical examination data were included.The correlation between ultrasound examination of thyroid nodules and thyroid function,blood glucose,blood lipid,blood pressure,body mass index(BMI),job title and other factors was statistically analyzed.Results The ultrasonic detection rate of thyroid nodules in staff was 43.66%in Shenzhen Second People’s Hospital.The detection rate of thyroid nodules in female was higher than that in male,and the detection rate of senior title was higher than that of junior or intermediate title.The thyroid nodules detection rate of 45-55 years old group was higher than that of<35 years old group,and the thyroid nodules detection rate of>55 years old group was higher than that of<35 years old group and 35-45 years old group,respectively,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that age,diastolic blood pressure(DBP),BMI and total cholesterol(TC)were independent risk factors for thyroid nodules(P<0.05).Conclusion The detection rate of thyroid nodules in medical workers in the Second People’s Hospital of Shenzhen was correlated with age,blood lipid,blood pressure and BMI.The detection rate of thyroid nodules in senior job title was higher,which may be related to the more mental and work stress.Therefore,it is necessary to develop appropriate follow-up plans for medical workers at different levels,and give life guidance and stress relief.
作者
肖瑜
刘国文
吴恢升
苗北平
周必强
XIAO Yu;LIU Guo-wen;WU Hui-sheng;MIAO Bei-ping;ZHOU Bi-qiang(Shenzhen Second People's Hospital,The First Affiliated Hospital of Shenzhen University,Guangdong Shenzhen 518035)
出处
《深圳中西医结合杂志》
2022年第15期19-22,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
广东省医学科学技术研究基金项目(B2016078)
深圳市科技创新委员会基础研究面上项目(JCYJ20210324103203010)。
