摘    要:目的 了解健康体检者的甲状腺结节检出情况，分析其相关因素，为早发现早干预甲状腺结节提供新思路。方法 采用整群抽样的方法选取杭州市西湖区税务局以及公安局两个单位2017年在杭州市疗养院体检中心进行健康体检者1121人，运用描述性统计分析，单因素分析以及多因素Logistic回归分析，分析体检人群甲状腺结节产生的相关因素。结果 彩超检出甲状腺结节者占46.9%，其中，单侧结节者占50.1%，双侧结节者占49.9%，结节直径＞1cm者占17.1%，＜1cm者占82.9%。根据卡方分析结果，不同性别的人群中发现：男性甲状腺结节的检出率低于女性，差异有统计学意义（P = 0.000）; 不同年龄的人群中发现：相对年轻者甲状腺结节的检出率低于相对年长者，差异有统计学意义（P = 0.000）; 不同BMI情况的人群中发现：BMI值正常者甲状腺结节的检出率低于BMI值偏高或偏低者，差异有统计学意义（P = 0.044）; 不同腰臀比情况的人群中发现：腰臀比值正常者甲状腺结节的检出率低于腰臀比值偏高者，差异有统计学意义（P = 0.000）。其他吸烟、饮酒、脉搏情况、血压情况与甲状腺结节的检出情况无统计学意义。根据多元Logistic回归分析结果，发现性别、年龄以及BMI情况是甲状腺结节产生的相关因素。结论 甲状腺结节者的彩超检出率较高，占46.9%；女性较男性检出率高，年龄高者较低者检出率高，BMI指数偏高或偏低者较正常者检出率高，腰臀比偏高者较正常者检出率高，吸烟、饮酒、脉搏情况、血压情况均为无关因素，对甲状腺结节的发生无影响。

Abstract:Objective To understand the detection result of thyroid nodules, and analyze the relevant factors, to provide new ideas for early discovering and timely intervening the development of thyroid nodules. Methods Using cluster sampling method to select two authority units(Tax Bureau and Public Security Bureau of Xihu District in Hangzhou) altogether 1121 healthy participants in the physical examination from the medical examination center of Hangzhou Nursing Home in 2017.Using descriptive analysis, single factor analysis and multiple Logistic regression analysis, analyze the relevant factors of causing thyroid nodules in persons who underwent a health examination. Results The thyroid ultrasound results that the incidence of thyroid nodules was 46.9%. Among them, people who have unilateral thyroid nodules account for 50.1%, and the rest of 49.9% people have bilateral thyroid nodules. And people whose thyroid nodules diameter >1cm account for 17.1%, and the rest of 82.9% people whose thyroid nodules diameter <1cm. According to the chi-square analysis results, the detection of thyroid nodules in different sex: the percentage of the men who were found to have thyroid nodules was lower than that of the women, and the difference is statistically significant (P=0.000). The detection of thyroid nodules in different age: the percentage of the younger who were found was lower than that of the elder, and the difference is statistically significant (P=0.000). The detection of thyroid nodules in different BMI: these people whose BMI index is normal, the detection rate of them was lower than that of people whose BMI index is high or low, and the difference is statistically significant (P=0.044).The detection of thyroid nodules in different WHR: these people whose WHR index is normal, the detection rate of them was lower than that of people whose WHR index is high, and the difference is statistically significant (P=0.000). However, other factors like smoking, drinking, pulse conditions, and blood pressure were all unrelated factors and the difference is not statistically significant. According to the multiple Logistic regression analysis results, sex, age and BMI index are related factors of causing thyroid nodules. Conclusion The thyroid ultrasound results that the incidence of thyroid nodules was high, accounting for 46.9%. The percentage of the women who were found to have thyroid nodules was higher than that of the men. And the percentage of the elder who were found was higher than that of the younger. Also, these people whose BMI index is high or low, the detection rate of them was higher than that of people whose BMI index is normal. And these people whose WHR index is high, the detection rate of them was higher than that of people whose WHR index is normal. However, smoking, drinking, pulse conditions, and blood pressure were all unrelated factors and had no effect on the occurrence of thyroid nodules. 杭州市部分机关单位甲状腺结节的检出情况及其相关因素分析:http://www.chuibin.com/yixue/lunwen_205786.html