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放射工作人员甲状腺疾病发病影响因素分析
陈钰蓉,涂永忠,卢鑫,张璐瑶,吴依玲,朱凌燕
1.南昌大学第一附属医院内分泌代谢科,江西 南昌330000;2.江西省职业病防治研究院;3.国家代谢性疾病 临床医学研究中心江西分中心/江西省内分泌代谢病临床医学研究中心;4.南昌大学第一附属医院教务处
摘 要: 目的 探讨放射工作人员发生甲状腺疾病的影响因素。方法 收集2529名从事放射工作人员职业健康体检资料,分析其甲状腺功能检测指标及超声检查结果。结果 女性、年长者、从事放射诊断相关工作人员患自身免疫性甲状腺炎和甲状腺结节的风险较高(放射工龄≥20年人员自身免疫性甲状腺炎患病率尤高);罹患自身免疫性甲状腺炎后发生甲状腺功能异常的风险是未患甲状腺炎的2倍,差异具有统计学意义(P<0.05);多因素Logistic回归分析显示,放射工龄与患甲状腺结节无关联。结论 放射工作人员甲状腺疾病患病状况不容乐观,应提高职业防护意识,加强职业防护措施。
关键词: 放射  自身免疫性甲状腺炎  甲状腺结节  防护
中图分类号: R146    文献标识码: A
基金项目: 
Analysis on factor influencing incidence of thyroid diseases in radiation workers
CHEN Yurong,TU Yongzhong,LU Xin,ZHANG Luyao,WU Yiling,ZHU Lingyan
Department of Endocrinology and Metabolism, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330000,China
Abstract: Objective To explore the influencing factor on thyroid disease among radiation workers.Methods The health examination data of 2 529 radiation workers were collected,analyze their thyroid function laboratory indexes and thyroid ultrasound examination results.Results The results showed that women,older individual and radiological workers engaged in diagnostic radiology and related jobs had a higher risk of developing autoimmune thyroiditis (especially those people whose service time were≥20years) and thyroid nodules;and the risk of developing thyroid dysfunction after suffering from autoimmune thyroiditis was twice that of not suffering from thyroiditis (P<0. 05);furthermore,the multivariate Logistic regression analysis showed that there was no correlation between radiation exposure and thyroid nodules.Conclusion The results suggested that the condition of thyroid disease among radiation was not optimistic,the radiation staff should raise their awareness of occupational protection, and the occupational protection measures for them should be.
Keywords: radiation  autoimmune thyroiditis  thyroid nodules  protection


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