中国全科医学Issue(20)：2393-2397,5.DOI:10.3969/j.issn.1007-9572.2015.20.008
汉族和维吾尔族及哈萨克族人群甲状腺结节与代谢综合征的相关性研究
Relationship of Thyroid Nodules to Metabolic Syndrome Among Han, Uygur and Kazakh Nationality
摘要
Abstract
Objective To explore the relationship of thyroid nodules( TN)and metabolic syndrome( MS) among Han,Uygur and Kazakh. Methods A cross-sectional study was performed in 5 870 physical examiners(4 643 Han,996 Uygur,231 Kazakh)in the physical examination center of First Teaching Hospital of Xinjiang Medical University in 2013. The subjects had measuring of human indicator,blood biochemical parameters and thyroid ultrasound. Results There was significant difference in gender, age, height, weight, BMI, SBP, DBP, TG, HDL - C, FPG among Han, Uygur, Kazakh ( P <0. 05). The TN detection rate was 28. 0%(1 299/4 643)in Han,30. 9%(308/996)in Uygur,39. 8%(92/231)in Kazakh,the difference was significant(χ2 =17. 309,P <0. 001);MS detection rate was 16. 3%(756/4 643)in Han, 23. 5%(234/996)in Uygur,22. 9%(53/231)in Kazakh,the difference was significant(χ2 =33. 596,P<0. 001). In Han subjects,MS,FPG,blood pressure(BP)were associated with TN(χ2 =14. 830,19. 625,59. 757,P=0. 05),and TN risks increased with the increase of MS component numbers(χ2trend =17. 195,P=0. 05);in Uygur subjects,MS,BMI, FPG,BP were related to TN(χ2 =8. 136,14. 416,7. 707,14. 218,P=0. 05),and TN risks increased with the increase of MS component numbers(χ2trend =15. 480,P=0. 05);in Kazakh subjects,BP related to TN(χ2 =10. 745,P=0. 05),there was no tendency between TN risks and MS component numbers ( P =0. 612 ). Logistic regression analysis showed that gender〔OR=3. 061,95%CI(2. 622,3. 573)〕,age〔OR =1. 046,95%CI(1. 040,1. 052)〕,BP〔OR =1. 217,95%CI (1. 036,1. 431)〕were risk factors of TN in Han;gender〔OR =2. 861,95%CI(2. 020,4. 053)〕,age〔OR =1. 077, 95%CI(1. 061,1. 093)〕,BMI〔OR=1. 550,95%CI(1. 064,2. 357)〕were risk factors of TN in Uygurs;gender〔OR=4. 401,95%CI(2. 068,9. 366)〕,age〔OR =1. 067,95%CI(1. 037,1. 098)〕,BP〔OR =2. 104,95%CI(1. 081, 4. 091)〕were risk factors of TN in Kazakh. Conclusion TN is closely related to MS and its component numbers. Different nationalities have different TN risk factors. Comprehensive,effective measures should be taken to control TN risk factors based on ethnic differences.关键词
甲状腺结节/代谢综合征X/汉族/维吾尔族/哈萨克族Key words
Thyroid nodule/Metabolic syndrome X/Han nationality/Uygur nationality/Kazakh nationality分类
医药卫生引用本文复制引用
陈丹,王淑霞,刘静,刘风莲,赵卫云,程志琴,高颖..汉族和维吾尔族及哈萨克族人群甲状腺结节与代谢综合征的相关性研究[J].中国全科医学,2015,(20):2393-2397,5.基金项目
新疆维吾尔自治区科技支疆项目 （）
