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中国甲状腺单结节和多结节的患病率及其与代谢性疾病的关联:一项横断面研究。

The Prevalence of Single and Multiple Thyroid Nodules and Its Association with Metabolic Diseases in Chinese: A Cross-Sectional Study.

作者信息

Zou Bing, Sun Li, Wang Xin, Chen Zongtao

机构信息

Health Management Center, Southwest Hospital, Army Military Medical University, Chongqing 400038, China.

Department of Epidemiology and Biostatistics, Southwest Hospital, Army Military Medical University, Chongqing 400038, China.

出版信息

Int J Endocrinol. 2020 Feb 14;2020:5381012. doi: 10.1155/2020/5381012. eCollection 2020.

Abstract

PURPOSE

The present study aims to investigate the prevalence of single and multiple thyroid nodules and its association with metabolic diseases in subjects who participated in the heath examination in China.

METHODS

This is a cross-sectional study. The participants who attend the physical examination at the Health Management Center of Southwest Hospital, Army Military Medical University, between January 2014 and December 2018, were included. Thyroid nodules were diagnosed by thyroid ultrasound. Multivariable logistic regression was used to investigate the association between metabolic diseases and nodular thyroid disease.

RESULTS

A total of 9,146 subjects were included in this study; of them, 2,961 were diagnosed with thyroid nodules, with a prevalence of 32.4%. The prevalence in women was significantly higher than that in men (45.2% 26.0%;  = 339.56, < 0.001), and the prevalence was gradually increased with age ( = 20.05, < 0.001), and the prevalence was gradually increased with age (.

CONCLUSIONS

The prevalence of thyroid nodules was relatively high. Age, female gender, and diabetes are positively associated with nodular thyroid disease. High LDL cholesterolemia is more likely to be associated with multiple thyroid sarcoidosis.

摘要

目的

本研究旨在调查参加中国健康体检的人群中单个和多个甲状腺结节的患病率及其与代谢性疾病的关联。

方法

这是一项横断面研究。纳入了2014年1月至2018年12月期间在陆军军医大学西南医院健康管理中心参加体检的参与者。通过甲状腺超声诊断甲状腺结节。采用多变量逻辑回归分析来研究代谢性疾病与结节性甲状腺疾病之间的关联。

结果

本研究共纳入9146名受试者;其中,2961人被诊断为甲状腺结节,患病率为32.4%。女性患病率显著高于男性(45.2%对26.0%;χ² = 339.56,P < 0.001),且患病率随年龄逐渐升高(χ² = 20.05,P < 0.001)。

结论

甲状腺结节的患病率相对较高。年龄、女性性别和糖尿病与结节性甲状腺疾病呈正相关。高LDL胆固醇血症更可能与多发性甲状腺结节病相关。

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