华南预防医学 ›› 2024, Vol. 50 ›› Issue (5): 395-399.doi: 10.12183/j.scjpm.2024.0395

• 论著 • 上一篇    下一篇

上海地区健康体检人群磨玻璃结节患病率及其与代谢性疾病的相关性分析

徐国厚, 黄海峡, 田建广, 蒋磊, 马光慧, 王丁要, 吴建彬, 王逊, 罗杨, 瞿明月   

  1. 华东疗养院,江苏 无锡 214065
  • 收稿日期:2023-12-11 出版日期:2024-05-20 发布日期:2024-06-13
  • 通讯作者: 黄海峡,E-mail:2579492770@qq.com
  • 作者简介:徐国厚(1976—),男,硕士研究生,主治医师,研究方向:肺癌早期诊断及心血管疾病诊断
  • 基金资助:
    上海市加强公共卫生体系建设三年行动计划(2023—2025)(GWVI—11.1—28); 华东疗养院启明星人才计划(2023QMX)

Prevalence of ground glass nodules and its correlation with metabolic diseases in health examination population in Shanghai

XU Guohou, HUANG Haixia, TIAN Jianguang, JIANG Lei, MA Guanghui, WANG Dingyao, WU Jianbin, WANG Xun, LUO Yang, QU Mingyue   

  1. Huadong Sanatorium,Wuxi 214065,China
  • Received:2023-12-11 Online:2024-05-20 Published:2024-06-13

摘要: 目的 了解上海地区健康体检人群的磨玻璃结节(GGN)的患病情况,探讨其和代谢性疾病之间的联系。方法 选取10 403名健康体检者为调查对象,对该人群GGN患病情况及代谢指标进行分析,采用单、多因素分析方法分析代谢性疾病对GGN产生的影响。结果 该地区健康体检人群的GGN患病率约35.90%(3 735/10 403),其中女性为38.87%(1 703/4 381)、男性为33.74%(2 032/6 022),差异有统计学意义(P<0.01)。不同代谢疾病患者之间GGN患病率差异有统计学意义(P<0.05或P<0.01)。高血压(OR=1.168)是该人群GGN患病的危险因素。除高血压之外,高低密度脂蛋白胆固醇(LDL-C)血症(OR=1.287)是女性GGN患病的危险因素;糖尿病(OR=1.234)、糖调节受损者(OR=1.342)及低高密度脂蛋白胆固醇(HDL-C)血症(OR=1.315)是男性GGN的患病危险因素;而脂肪肝(OR=0.858)是男性GGN患病的保护因素。结论 上海地区健康体检人群的GGN患病率较高。女性GGN的患病率受到高血压、高LDL-C血症的影响,男性GGN的患病率与高血压、糖尿病、糖调节受损、低HDL-C血症及脂肪肝有一定的相关性。

关键词: 磨玻璃结节, 健康体检人群, 代谢性疾病, 患病率, 糖尿病

Abstract: Objective To understand the prevalence of ground glass nodules (GGN) in health examination population in Shanghai and explore its correlation with metabolic diseases. Methods A total of 10 403 health examinees were selected for the survey,and the prevalence of GGN and metabolic indicators in this population were analyzed. Univariate and multivariate analyses were used to examine the impact of metabolic diseases on GGN. Results The prevalence of GGN in health examination population of the region was approximately 35.90% (3 735/10 403),with females accounting for 38.87% (1 703/4 381) and males accounting for 33.74% (2 032/6 022),with a statistically significant difference (P<0.05). There was a statistically significant difference in the prevalence of GGN among patients with different metabolic diseases (P<0.05 or P<0.01). Hypertension (OR=1.168) was a risk factor for GGN in the population. In addition to hypertension,high levels of low-density lipoprotein cholesterol (LDL-C) (OR=1.287) was a risk factor for GGN in females. For males,diabetes (OR=1.234),impaired glucose regulation (OR=1.342),and low levels of high-density lipoprotein cholesterol (HDL-C) (OR=1.315) were risk factors for GGN,while fatty liver (OR=0.858) was found to be a protective factor. Conclusions The prevalence of GGN is relatively high in health examination population in Shanghai. The prevalence of GGN in females is affected by hypertension and high levels of LDL-C,while the prevalence of GGN in males is related to hypertension,diabetes,impaired glucose regulation,low levels of HDL-C,and fatty liver.

Key words: Ground glass nodules, Health examination population, Metabolic diseases, Prevalence, Diabetes

中图分类号: 

  • R581