CAJ | 학술논문

目的了解北京市健康体检人群甲状腺结节检出情况,以及其与性别、年龄间的关系,为甲状腺结节的防治提供依据.方法收集2009-2013年北京市体检中心健康体检人群体检数据,分析甲状腺结节检出情况,比较不同性别、不同年龄人群间甲状腺结节检出率的差异;采用多重线性回归方法分析甲状腺结节检出率与年龄、性别之间的关系;采用系统聚类分析法,分析不同年龄组人群甲状腺结节检出率的分类情况.结果 2009-2013年北京市健康体检人群甲状腺结节累计检出率为36.47％,女性甲状腺结节检出率高于男性(42.89％∶ 30.47％,x2=1.67×103,P＜0.01),不同年龄组人群之间甲状腺结节检出率不同(x2=1.07×104,P＜0.01),且随年龄逐渐增大甲状腺结节检出率呈上升趋势(x2=7.65×103,P＜0.01).甲状腺结节检出率((Y))与年龄(X1)、性别(X2)之间存在回归关系,回归方程为(Y)=-0.068+0.040X1+0.151X2.聚类分析显示,＜20岁及55岁以上人群聚为一类,其甲状腺结节检出率最高.结论北京市健康体检人群甲状腺结节检出率与其他省市相一致,检出率受年龄、性别因素影响大,女性、＜20岁及55岁以上人群检出率较高.
목적 료해북경시건강체검인군갑상선결절검출정황,이급기여성별、년령간적관계,위갑상선결절적방치제공의거.방법 수집2009-2013년북경시체검중심건강체검인군체검수거,분석갑상선결절검출정황,비교불동성별、불동년령인군간갑상선결절검출솔적차이;채용다중선성회귀방법분석갑상선결절검출솔여년령、성별지간적관계;채용계통취류분석법,분석불동년령조인군갑상선결절검출솔적분류정황.결과 2009-2013년북경시건강체검인군갑상선결절루계검출솔위36.47％,녀성갑상선결절검출솔고우남성(42.89％∶ 30.47％,x2=1.67×103,P＜0.01),불동년령조인군지간갑상선결절검출솔불동(x2=1.07×104,P＜0.01),차수년령축점증대갑상선결절검출솔정상승추세(x2=7.65×103,P＜0.01).갑상선결절검출솔((Y))여년령(X1)、성별(X2)지간존재회귀관계,회귀방정위(Y)=-0.068+0.040X1+0.151X2.취류분석현시,＜20세급55세이상인군취위일류,기갑상선결절검출솔최고.결론 북경시건강체검인군갑상선결절검출솔여기타성시상일치,검출솔수년령、성별인소영향대,녀성、＜20세급55세이상인군검출솔교고.
Objective To investigate the positive rate of nodular thyroid disease in health check-up population of Beijing and the relationship between the incidence and gender and age factors,so as to provide evidence for prevention and treatment of thyroid nodule.Methods The data of health check-up population of Beijing from 2009 to 2013 were obtained from Beijing Physical Examination Center.The positive rate of thyroid nodule was calculated and compared among male and female groups and different age groups.Multiple linear regression analysis was performed to analyze the relation of the positive rate of thyroid nodule to gender and age.Clustering method was used to classify the rate in different age groups.Results The positive rate of thyroid nodule in health check-up population of Beijing from 2009 to 2013 was 36.47％; the rate was higher in women than in men (42.89％ vs 30.47％,x2=1.67×103,P＜0.01); a significant difference in the positive rate of thyroid nodule was noted among different age groups(x2=1.07×104,P＜0.01) and a rising trend was seen as the age grew(x2=7.65×103,P＜0.01).In multiple linear regression analysis,a regression relationship was found between the positive rate of thyroid nodule((Y)) and the age(X1) and gender(X2):(Y)=-0.068+0.040X1+0.151X2.The clustering analysis showed that check-up people under 20 years old and more than 55 years old were in one cluster with the highest positive rate of thyroid nodule.Conclusions The positive rate of nodular thyroid disease in health check-up population of Beijing is consistent with that of other cities and provinces in China,which is mostly influenced by the age and gender of population.The highest positive rate of thyroid nodule was seen in female or under 20 years old or more than 55 years old population.