河北地区甲状腺结节患病情况及相关因素分析

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1、授予单位代码10089学号或申请号20153136中国图书分类号R581.9HebeiMedicalUniversity硕士学位论文专业学位河北地区甲状腺结节患病情况及相关因素分析研究生：张佳导师：张力辉教授专业：内科学二级学院：河北医科大学第二医院2018年3月目录中文摘要··········································································································1英文摘要·································

2、·········································································2英文缩写··········································································································4研究论文河北地区甲状腺结节患病情况及相关因素分析前言·······································································

3、···································5材料与方法······························································································5结果··········································································································8附表···································

4、·······································································10讨论··········································································································15结论·································································································

5、·········20参考文献··································································································20综述碘营养与甲状腺疾病······································································26致谢··················································································

6、································31个人简历··········································································································32中文摘要河北地区甲状腺结节患病情况及相关因素分析摘要目的：了解河北地区甲状腺结节的患病情况及其相关影响因素，为甲状腺结节的防治提供依据。方法：于2015年10月-2016年3月，采用整群随机抽样方法，选取河北省石家庄市李村镇及沧州市任丘市为调查现场，分别随机抽取1257名

7、及1393名年满18周岁的常住人口参与调查。所有参与者调查内容包括调查问卷（一般情况、饮食习惯、既往病史及家族史等）、体格检查（身高、体重、血压、心率、甲状腺触诊）、实验室检查（血糖、血脂、尿酸、甲状腺激素、尿碘、饮用水碘含量等）、甲状腺超声（有无结节）。结果：两地共有2650名常住人口参与调查，甲状腺结节患者共477例，甲状腺结节检出率为18.0%。经过纳入标准和排除标准筛选，共2305名被调查者进入本研究，分为甲状腺结节组与正常对照组，甲状腺结节组为477例，平均年龄为（52.92±15.24）岁，男性208例（n=43.6%），女性269例（n=56.

8、4%）；正常对照组为1828例，平均年龄（39.67