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

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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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10.	莫哲, 丁钢强, 楼晓明, 等. 浙江省不同地区居民甲状腺结节状况及相关因素分析[J].中华预防医学杂志, 2011, 45(5):474-476.
11.	邱蕾, 孙明晓, 汪耀, 等. 中年至超高龄老年人甲状腺结节的发病特点[J].中华内分泌代谢杂志, 2014, 30(2):115-118.
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13.	Karger S, Schötz 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.
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15.	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):1662-1664.
16.	杨丽明. 健康体检人群甲状腺结节患病率分析及意义[J].中国实用医药, 2013, 8(8):89-90.

1. 汤祎, 高贵留, 李光善. 威海市甲状腺结节发病特点研究[J].中国实用医药, 2010, 5(31):54-55.
2. 冷松, 刘颖, 刘海霞, 等. 大连市健康体检成人甲状腺结节流行病学研究[J].医学与哲学, 2011, 32(8):22-24.
3. 陈文斌, 潘祥林. 诊断学[M].6版. 北京:人民卫生出版社, 2006:75-575.
4. 中华医学会肝脏病学分会脂肪肝和酒精性肝病学组. 非酒精性脂肪性肝病诊断标准[J].中华肝脏病杂志, 2003, 11(2):71.
5. 孟召伟, 谭建. 解读美国甲状腺协会2009年甲状腺结节和分化型甲状腺癌诊治指南[J].国际内分泌代谢杂志, 2010, 30(5):349-352.
6. 詹维伟. 甲状腺结节的超声诊断进展[J/CD].中华医学超声杂志:电子版, 2011, 8(6):1170-1179.
7. 张波, 姜玉新, 戴晴, 等. 前瞻性观察甲状腺结节的SonoVue超声造影增强模式[J].中国医学影像技术, 2010, 26(5):844-847.
8. 韩轶超, 张旭刚, 彭晔, 等. 衡水市不同职业人群甲状腺结节患病率的流行病学调查[J].现代预防医学, 2014, 41(21):3845-3846, 3864.
9. 王平, 刘敏, 倪金玲. 某企业医院在职职工甲状腺结节的流行病学特点[J].中国临床研究, 2011, 24(2):150-151.
10. 莫哲, 丁钢强, 楼晓明, 等. 浙江省不同地区居民甲状腺结节状况及相关因素分析[J].中华预防医学杂志, 2011, 45(5):474-476.
11. 邱蕾, 孙明晓, 汪耀, 等. 中年至超高龄老年人甲状腺结节的发病特点[J].中华内分泌代谢杂志, 2014, 30(2):115-118.
12. 施秉银. 甲状腺结节性质评估的未尽探索[J].中华内分泌代谢杂志, 2013, 29(7):545-547.
13. Karger S, Schötz 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, 钱明. 健康体检人群甲状腺结节患病情况调查[J].中外医学研究, 2011, 9(29):74-75.
15. 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):1662-1664.
16. 杨丽明. 健康体检人群甲状腺结节患病率分析及意义[J].中国实用医药, 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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