健康体检人群甲状腺结节检出情况及健康教育护理效果分析
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摘要
目的调查健康体检人群甲状腺结节检出情况并分析健康教育护理效果。方法方便选取2017年1—12月到该院进行健康体检的体检者426名作为研究对象,观察分析甲状腺结节检出情况并比较不同性别和不同年龄段的甲状腺结节检出率,同时根据甲状腺B超检查结果将体检者分为阳性组和阴性组,观察比较两组的体质指数、血压水平、血脂水平、血糖水平及血尿酸水平。结果 426名体检者中甲状腺结节检出率为41.78%。男性的甲状腺结节检出率显著低于女性(χ~2=12.564,P<0.05)。70岁以上年龄段的甲状腺结节检出率显著高于60～69岁、50～59岁、40～49岁、30～39岁、20～29岁(χ~2=16.837、18.598、20.436、23.002、25.743,P<0.05)。阳性组的体质指数、收缩压水平、舒张压水平、总胆固醇水平、甘油三酯水平及血糖水平[(25.32±2.37)kg/m2、(136±17)mmHg、(82±18)mmHg、(5.22±0.96)mmol/L、(1.74±1.38)mmol/L、(6.01±1.45)mmol/L]均显著高于阴性组[(22.89±2.14)kg/m2、(123±20)mmHg、(74±12)mmHg、(3.87±1.14)mmol/L、(1.43±1.25)mmol/L、(5.46±1.28)mmol/L](t=5.424、9.247、7.283、5.176、4.140、4.445,P<0.05);阳性组的低密度脂蛋白水平和血尿酸水平[(3.23±1.18)mmol/L、(359.15±70.27)μmol/L]与阴性组[(3.18±1.04)mmol/L、(357.33±68.54)μmol/L]比较均差异无统计学意义(t=0.852、1.033,P>0.05)。结论女性比男性的甲状腺结节患病率高,且随着人年龄的增长,甲状腺结节的发病率也会随之升高,而通过加强健康教育护理以有效控制体质指数、血压水平、血脂水平及血糖水平,可以有效预防甲状腺结节的发生。
Objective To investigate the detection of thyroid nodules in healthy people and analyze the effect of health education. Methods A total of 426 patients who underwent physical examinations in our hospital from January to December2017 were convenient selected as subjects. The detection of thyroid nodules was observed and the detection rate of thyroid nodules of different genders and ages was compared. The results of thyroid B-ultrasound examination were divided into positive group and negative group. The body mass index, blood pressure level, blood lipid level, blood glucose level and blood uric acid level were compared between the two groups. Results The detection rate of thyroid nodules in 426 patients was41.78%. The detection rate of thyroid nodules in men was significantly lower than that in women(χ~2=12.564, P<0.05). The detection rate of thyroid nodules in the age group over 70 years old was significantly higher than 60～69 years old, 50～59 years old, 40～49 years old, 30～39 years old, 20～29 years old(χ~2=16.837, 18.598, 20.436, 23.002, 25.743, P<0.05). Body mass index, systolic blood pressure level, diastolic blood pressure level, total cholesterol level, triglyceride level and blood glucose level in the positive group [(25.32 ±2.37) kg/m2,(136 ±17) mmHg,(82 ±18) mmHg,(5.22 ±0.96)mmol/L,(1.74 ±1.38) mmol/L,(6.01±1.45) mmol/L] were significantly higher than the negative group [(22.89±2.14) kg/m2,(123±20) mmHg,(74±12) mmHg,(3.87±1.14) mmol/L,(1.43±1.25) mmol/L,(5.46±1.28) mmol/L](t=5.424, 9.247, 7.283, 5.176, 4.140, 4.445, P<0.05);low-density lipoprotein levels and blood uric acid levels in the positive group [(3.23±1.18) mmol/L,(359.15±70.27) μmol/L] and the negative group [(3.18±1.04) mmol/L,(357.33±68.54) μmol/L. There was no significant difference in the comparison of(t=0.852, 1.033, P>0.05). Conclusion The prevalence of thyroid nodules is higher in women than in men, and the incidence of thyroid nodules increases with age, and health care is used to effectively control body mass index, blood pressure levels,and blood lipids level and blood glucose levels, and can effectively prevent the occurrence of thyroid nodules.
Objective To investigate the detection of thyroid nodules in healthy people and analyze the effect of health education. Methods A total of 426 patients who underwent physical examinations in our hospital from January to December2017 were convenient selected as subjects. The detection of thyroid nodules was observed and the detection rate of thyroid nodules of different genders and ages was compared. The results of thyroid B-ultrasound examination were divided into positive group and negative group. The body mass index, blood pressure level, blood lipid level, blood glucose level and blood uric acid level were compared between the two groups. Results The detection rate of thyroid nodules in 426 patients was41.78%. The detection rate of thyroid nodules in men was significantly lower than that in women(χ~2=12.564, P<0.05). The detection rate of thyroid nodules in the age group over 70 years old was significantly higher than 60～69 years old, 50～59 years old, 40～49 years old, 30～39 years old, 20～29 years old(χ~2=16.837, 18.598, 20.436, 23.002, 25.743, P<0.05). Body mass index, systolic blood pressure level, diastolic blood pressure level, total cholesterol level, triglyceride level and blood glucose level in the positive group [(25.32 ±2.37) kg/m2,(136 ±17) mmHg,(82 ±18) mmHg,(5.22 ±0.96)mmol/L,(1.74 ±1.38) mmol/L,(6.01±1.45) mmol/L] were significantly higher than the negative group [(22.89±2.14) kg/m2,(123±20) mmHg,(74±12) mmHg,(3.87±1.14) mmol/L,(1.43±1.25) mmol/L,(5.46±1.28) mmol/L](t=5.424, 9.247, 7.283, 5.176, 4.140, 4.445, P<0.05);low-density lipoprotein levels and blood uric acid levels in the positive group [(3.23±1.18) mmol/L,(359.15±70.27) μmol/L] and the negative group [(3.18±1.04) mmol/L,(357.33±68.54) μmol/L. There was no significant difference in the comparison of(t=0.852, 1.033, P>0.05). Conclusion The prevalence of thyroid nodules is higher in women than in men, and the incidence of thyroid nodules increases with age, and health care is used to effectively control body mass index, blood pressure levels,and blood lipids level and blood glucose levels, and can effectively prevent the occurrence of thyroid nodules.
引文
[1]张丽,蔡国华,严红.健康体检人群甲状腺结节检出情况调查[J].保健医学研究与实践,2018(4):55-57.
[2]栗瑞娟.健康体检人群甲状腺结节检出情况及健康教育护理效果分析[J].基层医学论坛,2018,22(21):3009
[3]王凤玲,刘玉枝,李红岩,等.黄骅市体检人群甲状腺结节检出情况的调查分析[J].中国预防医学杂志,2016,17(4):276-279.
[4]李岩,肖占森.健康体检者甲状腺结节检出率及特征分析[J].中国临床医生杂志,2015,43(6):54-55.
[5]杨尽梅,王嫱,禇南疆,等.昆明地区健康体检人群甲状腺结节检出情况分析[J].中国社区医师,2015,31(7):132
[6]刘刚,范白燕,蔡添才.彩超检出甲状腺结节8598例[J].武警医学,2017,28(8):831-833.
[7]顾淑仪,郑晓芬.社区甲状腺结节的检出情况及因素分析[J].现代诊断与治疗,2017,28(15):2867-2869.
[8]徐厚兰,崔焱,兰满,等.健康体检人群甲状腺结节患病率影响因素分析及健康教育干预[J].护士进修杂志,2013,28(18):1662
[2]栗瑞娟.健康体检人群甲状腺结节检出情况及健康教育护理效果分析[J].基层医学论坛,2018,22(21):3009
[3]王凤玲,刘玉枝,李红岩,等.黄骅市体检人群甲状腺结节检出情况的调查分析[J].中国预防医学杂志,2016,17(4):276-279.
[4]李岩,肖占森.健康体检者甲状腺结节检出率及特征分析[J].中国临床医生杂志,2015,43(6):54-55.
[5]杨尽梅,王嫱,禇南疆,等.昆明地区健康体检人群甲状腺结节检出情况分析[J].中国社区医师,2015,31(7):132
[6]刘刚,范白燕,蔡添才.彩超检出甲状腺结节8598例[J].武警医学,2017,28(8):831-833.
[7]顾淑仪,郑晓芬.社区甲状腺结节的检出情况及因素分析[J].现代诊断与治疗,2017,28(15):2867-2869.
[8]徐厚兰,崔焱,兰满,等.健康体检人群甲状腺结节患病率影响因素分析及健康教育干预[J].护士进修杂志,2013,28(18):1662