中医情志因素对于甲状腺结节TI－RADS分级的影响

文章信息/Info

• Title:中医情志因素对于甲状腺结节TI－RADS分级的影响

• 卷期:2023年21卷24期

• 作者:李雪 1   李国霞2

• 1．山东中医药大学第一临床医学院，山东 济南 250399; 2． 山东中医药大学第二附属医院，内分泌科，主任医师，研究生导师 山东 济南 250399

• Author(s):Li Xue1   Li Guoxia2

• 1. The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250399, China; 2. Department of Endocrinology, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250399, China

• 关键词甲状腺结节 ；TI-RADS分级；影响因素；情志

• Keywords:Thyroid nodule; TI - RADS classification; Influencing factors; modern

• 摘要:目的：研究中医情志对于甲状腺结节TI-RADS等级的影响。方法：选取山东中医药大学第二附属医院2020年9月－2022年1月期间住院行甲状腺B超及甲状腺功能检测者进行调查，明确结节诊断，对患者采用问卷调查方式确定其中医情志分类，统计分析年龄、性别、血脂、结节直径、结节个数、中医情志对于结节等级的影响。结果：单因素分析表明，甲状腺结节患者的结节个数，结节直径大小，异常情志是影响甲状腺结节TI-RADS等级的因素（P＜0.05）；而甲状腺结节患者的性别、年龄、血脂与甲状腺结节TI-RADS等级差异无统计学意义。（P＞0.05）。多因素分析表明，甲状腺结节患者结节直径、怒情志、悲忧情志、思情志是影响TI-RADS分级的主要因素（P＜0.05）。                                                                                                                                                                                

• Abstract: Objective: To study the influence of traditional Chinese medicine emotion on ti-RADS grade of thyroid nodule. Methods: Select the second affiliated hospital of shandong university of TCM in September 2020 - January 2022 hospitalized thyroid ultrasound and thyroid function tests to investigate, specific diagnosis tubercle, USES the questionnaire to patients determine its modern classification of traditional Chinese medicine, statistical analysis of the age, sex, blood lipids, nodal diameter, number of nodules, the influence of the Chinese modern for tubercle level. Results: Univariate analysis showed that the number of thyroid nodules, the diameter of thyroid nodules and abnormal mood were the factors affecting the ti-RADS grade of thyroid nodules (P < 0.05). There was no significant difference in gender, age, BMI, smoking, alcohol consumption, blood sugar, blood lipids and Ti-RADS grade of thyroid nodules. (P > 0.05). Multivariate analysis showed that nodular diameter, anger emotion, sadness emotion and thinking emotion were the main factors influencing ti-RADS grading (P < 0.05).

  近年来，甲状腺结节的患病率逐年升高。虽然多数的甲状腺结节对于人体没有不良的影响，但如果疾病进一步发展，结节持续增大，会对周围神经、器官造成压迫，引起呼吸困难、吞咽困难、声音嘶哑等，部分结节会造成甲状腺功能的紊乱，导致甲亢或者甲减，更严重者结节恶变，对患者的生命安全造成影响。