合肥市某三级医院医务人员肺结节检出情况及影响因素分析

doi:10.3969/j.issn.1006-3110.2024.02.013

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摘要目的了解合肥市某三级医院医务人员肺结节检出率及流行病学特征,并对其相关因素进行分析。方法采用横断面研究方法,选取2021年在中国科学技术大学附属第一医院(安徽省立医院)健康管理中心参加肺部低剂量螺旋CT检查并完成问卷调查的医务人员进行研究。结果 3 475名体检者共检查肺结节者1 280例,检出率36.83%。其中,男性检出率高于女性,分别为45.16%(443/981)和33.56%(837/2 494)。在肺结节检出人群中,双侧肺结节人数占比最多,为58.36%(747/1 280),左侧肺结节人数占比最低,为13.98%(179/1 280)。通过多因素logistic回归分析,发现年龄31~40岁(OR=2.372,95%CI:1.768~3.183)、41~50岁(OR=36.394,95%CI:25.803~51.333)、51~60岁(OR=51.876,95%CI:34.380~78.275)、肺癌家族史(OR=1.521,95%CI:1.056~2.192)、经常头晕或头昏(OR=1.625,95%CI:1.072~2.462)是影响医务人员肺结节检出的独立危险因素(P<0.05)。结论年龄越大、有肺癌家族史的医务人员肺结节检出率越高。经常头晕或头昏作为肺结节的常伴症状需要引起重视。

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	赵德胜
	郑浩然
	苏丹

关键词 ：医务人员, 肺结节, 检出率, 影响因素

Abstract：Objective To investigate the detection rate and epidemiological characteristics of pulmonary nodules among medical professionals in a tertiary hospital in Hefei City, and to analyze the related influencing factors. Methods A cross-sectional study was conducted in medical staff undergoing pulmonary nodule screening using low-dose spiral computed tomography and taking part in completed questionnaire survey in the Health Management Center, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital) in 2021. Results A total of 1,280 patients with pulmonary nodules were detected among 3,475 subjects undergoing physical examination, with a positive rate of 36.83%. The detection rate was higher in males (45.16%, 443/981) than in females (33.56%, 837/2,494). Among the patients with pulmonary nodulesdetected, patients with bilateral pulmonary nodules accounted for the largest proportion (58.36%, 747/1,280), while patients with left pulmonary nodules accounted for the lowest proportion (13.98%, 179/1,280). By multivariate logistic regression analysis, it was found that the age of 31-40 years old (OR=2.372, 95%CI:1.768-3.183), 41-50 years old (OR=36.394, 95%CI:25.803-51.333), 51-60 years old (OR=51.876, 95%CI:34.380-78.275), family history of lung cancer (OR=1.521, 95%CI:1.056-2.192) and frequent light-headedness or dizziness (OR=1.625, 95%CI:1.072-2.462) were independent risk factors affecting the detection of pulmonary nodules in the medical staff (all P<0.05). Conclusion The detection rate of pulmonary nodules is higher in medical staff with older age and a family history of lung cancer. Special attention should be paid to frequent light-headedness or dizziness as a common symptom of pulmonary nodules.

Key words： medical staff pulmonary nodule detection rate influencing factor

收稿日期: 2023-01-08

R563

基金资助:安徽省高等学校省级质量工程项目(2021jyxm1799)

通讯作者: 苏丹,E-mail:sudan422@126.com。

作者简介: 赵德胜(1990-),男,安徽六安人,硕士,研究方向:医院管理、慢性流行病学。

引用本文:

赵德胜, 郑浩然, 苏丹. 合肥市某三级医院医务人员肺结节检出情况及影响因素分析[J]. 实用预防医学, 2024, 31(2): 180-184. ZHAO Desheng, ZHENG Haoran, SU Dan. Status of pulmonary nodule detection and its influencing factors among medical staff of a tertiary hospital in Hefei City. , 2024, 31(2): 180-184.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2024.02.013 或 https://www.syyfyx.com/CN/Y2024/V31/I2/180

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