中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2015年
2期
108-112
,共5页
祝玉慧%谢颖坤%徐宁%李子建%郑晓慧
祝玉慧%謝穎坤%徐寧%李子建%鄭曉慧
축옥혜%사영곤%서저%리자건%정효혜
甲状腺结节%危险因素%体格检查%回顾性研究%飞行员
甲狀腺結節%危險因素%體格檢查%迴顧性研究%飛行員
갑상선결절%위험인소%체격검사%회고성연구%비행원
Thyroid nodule%Risk factors%Retrospective studies%Physical examination%Pilots
目的 分析军事飞行员甲状腺结节的患病情况及危险因素,为防治飞行员甲状腺疾病提供临床依据. 方法 回顾性分析在解放军第四五六医院健康体检和改装体检的629名飞行员甲状腺超声检查资料.分别按年龄、体质指数、空腹血糖水平分组,比较不同组间飞行员甲状腺结节的检出率.对可疑因素与甲状腺结节检出率的关系进行多因素Logistic回归分析. 结果 本组629名飞行员甲状腺结节检出率为19.24％,结节以直径不到1 cm的小结节(61.16％)、单发结节(63.64％)为主.甲状腺结节患病率随年龄增加而升高,差异有统计学意义(x2 =44.188,P＜0.01).体质指数增高或空腹血糖升高者较正常者甲状腺结节患病率高,差异有统计学意义(x2=10.980、7.159,P＜0.01).有负性生活事件者较无负性生活事件者患病率高,差异有统计学意义(x2 =5.862,P＜0.05).有无饮酒史、吸烟史及不同飞行机种、飞行时间组飞行员相比,甲状腺结节患病率差异无统计学意义(P＞0.05).多因素Logistic回归分析显示,年龄、空腹血糖、负性生活事件及体质指数是甲状腺结节的影响因素(B=0.565～0.723,P＜0.05). 结论 甲状腺结节在飞行员中患病率较高,以单发的小结节为主.年龄、空腹血糖、负性生活事件及体质指数是飞行员甲状腺结节的影响因素.
目的 分析軍事飛行員甲狀腺結節的患病情況及危險因素,為防治飛行員甲狀腺疾病提供臨床依據. 方法 迴顧性分析在解放軍第四五六醫院健康體檢和改裝體檢的629名飛行員甲狀腺超聲檢查資料.分彆按年齡、體質指數、空腹血糖水平分組,比較不同組間飛行員甲狀腺結節的檢齣率.對可疑因素與甲狀腺結節檢齣率的關繫進行多因素Logistic迴歸分析. 結果 本組629名飛行員甲狀腺結節檢齣率為19.24％,結節以直徑不到1 cm的小結節(61.16％)、單髮結節(63.64％)為主.甲狀腺結節患病率隨年齡增加而升高,差異有統計學意義(x2 =44.188,P＜0.01).體質指數增高或空腹血糖升高者較正常者甲狀腺結節患病率高,差異有統計學意義(x2=10.980、7.159,P＜0.01).有負性生活事件者較無負性生活事件者患病率高,差異有統計學意義(x2 =5.862,P＜0.05).有無飲酒史、吸煙史及不同飛行機種、飛行時間組飛行員相比,甲狀腺結節患病率差異無統計學意義(P＞0.05).多因素Logistic迴歸分析顯示,年齡、空腹血糖、負性生活事件及體質指數是甲狀腺結節的影響因素(B=0.565～0.723,P＜0.05). 結論 甲狀腺結節在飛行員中患病率較高,以單髮的小結節為主.年齡、空腹血糖、負性生活事件及體質指數是飛行員甲狀腺結節的影響因素.
목적 분석군사비행원갑상선결절적환병정황급위험인소,위방치비행원갑상선질병제공림상의거. 방법 회고성분석재해방군제사오륙의원건강체검화개장체검적629명비행원갑상선초성검사자료.분별안년령、체질지수、공복혈당수평분조,비교불동조간비행원갑상선결절적검출솔.대가의인소여갑상선결절검출솔적관계진행다인소Logistic회귀분석. 결과 본조629명비행원갑상선결절검출솔위19.24％,결절이직경불도1 cm적소결절(61.16％)、단발결절(63.64％)위주.갑상선결절환병솔수년령증가이승고,차이유통계학의의(x2 =44.188,P＜0.01).체질지수증고혹공복혈당승고자교정상자갑상선결절환병솔고,차이유통계학의의(x2=10.980、7.159,P＜0.01).유부성생활사건자교무부성생활사건자환병솔고,차이유통계학의의(x2 =5.862,P＜0.05).유무음주사、흡연사급불동비행궤충、비행시간조비행원상비,갑상선결절환병솔차이무통계학의의(P＞0.05).다인소Logistic회귀분석현시,년령、공복혈당、부성생활사건급체질지수시갑상선결절적영향인소(B=0.565～0.723,P＜0.05). 결론 갑상선결절재비행원중환병솔교고,이단발적소결절위주.년령、공복혈당、부성생활사건급체질지수시비행원갑상선결절적영향인소.
Objective To analyze the prevalence and risk factors of thyroid nodules in military pilots,to provide basis for prevention and cure of the thyroid nodules on military pilots.Methods Retrospective analysis was on 629 pilots who were in the health examination or transition physical examination in the 456th hospital of PLA.They were grouped by age,body mass index and fasting plasma glucose (FPG) level to compare the difference of detection rate of thyroid nodules among groups.The relationship between suspicious factors and detection rate of thyroid disease was analyzed by Logistic regression analysis.Results The detection rate of thyroid nodules in the 629 pilots was 19.24％.The thyroid nodules were mainly with the diameter smaller than 1 cm (61.16％) and solitary nodule (63.64 ％).The prevalence of nodule was increased with the age and showed statistical significance among age groups (x2 =44.188,P＜0.01).The pilots who had higher body mass index and fasting plasma glucose level showed the higher prevalence than those with the normal,and the difference had statistical significance (x2 =10.980,7.159,P＜0.01).The pilots who were with negative events showed higher prevalence of nodule than those without,and the difference had statistical significance (x2=5.862,P＜0.05).The smoking history,drinking history,aircraft type and flight time were insignificantly influence the prevalence of nodule (P＞0.05).The multiple factor Logistic regression analysis showed that age,fasting plasma glucose level,negative event influence,and body mass index were the influence factors of thyroid nodules (B=0.565-0.723,P＜0.05).Conclusions The prevalence of thyroid nodules is high in pilots,and the small solitary nodule is the main representation.Age,fasting plasma glucose level,negative event influence,and body mass index are the influence factors of thyroid nodules.
