某院医务人员甲状腺功能检测结果分析(1)
摘要：目的 调查我院医务人员甲状腺功能情况。方法 选取2016年1月～2018年12月在我院进行甲状腺功能检测的医务人员168名，采用化学发光分析仪检测促甲状腺素(TSH)、血清三碘甲状腺原氨酸(T3)、血清甲状腺素(T4)、血清游离三碘甲状腺原氨酸(FT3)及血清游离四碘甲状腺原氨酸(FT4)，并根据性别、岗位及年龄进行分类，比较不同性别、年龄及岗位医务人员的甲状腺功能状况。结果 168例受检者中，甲状腺功能异常34例(20.23%)，其中亚甲减所占比例最高;男性甲状腺功能异常检出率为8.06%(5/62)，女性甲状腺功能异常检出率为27.36%(29/106)，女性高于男性，差异有统计學意义(P<0.05);医生甲状腺功能异常检出率为11.70%(11/94)，护士甲状腺功能异常检出率为31.08%(23/74)，护士高于医生，差异有统计学意义(P<0.05);≥35岁男性的TSH水平为(2.94±1.90)μIU/ml，高于<35岁男性的 (1.71±0.79) μIU/ml，差异有统计学意义(P<0.05);<35岁女性TSH水平为(3.08±2.75)μIU/ml，高于<35岁男性的 (1.71±0.79) μIU/ml，差异有统计学意义(P<0.05);<35岁女性FT3为(2.75±0.45)pg/ml，FT4为(12.78±1.96)pg/ml ，低于<35岁男性的FT3(3.02±0.59)pg/ml、FT4(13.97±1.90)pg/ml，差异有统计学意义(P<0.05)。结论 我院医务人员甲状腺功能紊乱发病率较高，以亚甲减为主，其中女性发病率高于男性，护士发病率高于医生，年龄因素对甲状腺疾病有一定影响。
关键词：医务人员;甲状腺功能;亚甲减
中图分类号：R581 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.19.041
文章编号：1006-1959(2019)19-0127-03
Analysis of Thyroid Function Test Results of Medical Staff in a Hospital
DING Wei，YAN Nai-fu，ZHOU Yang
(Department of Clinical Laboratory，the PLA 63600 Military Hospital，Jiuquan 732750，Gansu，China)
Abstract：Objective To investigate the thyroid function of medical staff in our hospital. Methods A total of 168 medical staff who performed thyroid function tests in our hospital from January 2016 to December 2018 were enrolled. Chemoluminescence analyzer was used to detect thyrotropin (TSH)， serum triiodothyronine (T3)， and serum thyroid. (T4)， serum free triiodothyronine (FT3) and serum free tetraiodothyronine (FT4)， and classified according to gender， post and age， compare thyroid gland of different gender， age and position medical staff Functional status.Results Of the 168 subjects， 34 had thyroid dysfunction (20.23%)， with the highest proportion of hypothyroidism; the detection rate of male thyroid dysfunction was 8.06% (5/62)， and the detection rate of female thyroid dysfunction was 27.36% (29/106)， the difference between women and men was statistically significant (P<0.05); the detection rate of thyroid dysfunction was 11.70% (11/94)， and the detection rate of thyroid dysfunction in nurses was 31.08% (23/74)， the nurses were higher than the doctors， the difference was statistically significant (P<0.05); the TSH level of men aged ≥35 years was (2.94±1.90) μIU/ml， higher than that of men <35 years old (1.71±0.79)μIU/ml，the difference was statistically significant (P<0.05); the TSH level of <35 years old was (3.08±2.75) μIU/ml， which was higher than that of <35 years old males (1.71±0.79) μIU/ml，the difference was statistically significant (P<0.05); <35 years old female FT3 was (2.75±0.45) pg/ml， FT4 was (12.78±1.96) pg/ml， lower than <35 years old male FT3 (3.02±0.59) Pg/ml， FT4 (13.97±1.90) pg/ml， the difference was statistically significant (P<0.05).Conclusion The incidence of thyroid dysfunction in medical staff in our hospital is high， mainly in the reduction of thyroid. The incidence rate of female is higher than that of male. The incidence of nurses is higher than that of doctors. The age factor has certain influence on thyroid diseases., 百拇医药(丁伟 严乃富 周洋)
关键词：医务人员;甲状腺功能;亚甲减
中图分类号：R581 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.19.041
文章编号：1006-1959(2019)19-0127-03
Analysis of Thyroid Function Test Results of Medical Staff in a Hospital
DING Wei，YAN Nai-fu，ZHOU Yang
(Department of Clinical Laboratory，the PLA 63600 Military Hospital，Jiuquan 732750，Gansu，China)
Abstract：Objective To investigate the thyroid function of medical staff in our hospital. Methods A total of 168 medical staff who performed thyroid function tests in our hospital from January 2016 to December 2018 were enrolled. Chemoluminescence analyzer was used to detect thyrotropin (TSH)， serum triiodothyronine (T3)， and serum thyroid. (T4)， serum free triiodothyronine (FT3) and serum free tetraiodothyronine (FT4)， and classified according to gender， post and age， compare thyroid gland of different gender， age and position medical staff Functional status.Results Of the 168 subjects， 34 had thyroid dysfunction (20.23%)， with the highest proportion of hypothyroidism; the detection rate of male thyroid dysfunction was 8.06% (5/62)， and the detection rate of female thyroid dysfunction was 27.36% (29/106)， the difference between women and men was statistically significant (P<0.05); the detection rate of thyroid dysfunction was 11.70% (11/94)， and the detection rate of thyroid dysfunction in nurses was 31.08% (23/74)， the nurses were higher than the doctors， the difference was statistically significant (P<0.05); the TSH level of men aged ≥35 years was (2.94±1.90) μIU/ml， higher than that of men <35 years old (1.71±0.79)μIU/ml，the difference was statistically significant (P<0.05); the TSH level of <35 years old was (3.08±2.75) μIU/ml， which was higher than that of <35 years old males (1.71±0.79) μIU/ml，the difference was statistically significant (P<0.05); <35 years old female FT3 was (2.75±0.45) pg/ml， FT4 was (12.78±1.96) pg/ml， lower than <35 years old male FT3 (3.02±0.59) Pg/ml， FT4 (13.97±1.90) pg/ml， the difference was statistically significant (P<0.05).Conclusion The incidence of thyroid dysfunction in medical staff in our hospital is high， mainly in the reduction of thyroid. The incidence rate of female is higher than that of male. The incidence of nurses is higher than that of doctors. The age factor has certain influence on thyroid diseases., 百拇医药(丁伟 严乃富 周洋)