Investigation On Gynecological Diseases And Thyroid Nodules Of Female Workers In A First-Rate Of Level Three Hospital In Nanyang

Medical staff is a special working group.It not only bears more work intensity and psychological pressure than the average profession,but also has a special occupational environment that increases the chance of getting sick.The health of medical staff is related to the quality of people's medical services and is the basis for the development of social health services.Female medical staff is the largest team in medical human resources among them,and their health status cannot be ignored.In recent years,a number of studies have found that the prevalence of thyroid disease among medical staff is significantly higher than that of ordinary people,and the prevalence of thyroid disease is significantly higher than that of men.Gynecological and breast diseases account for the top two among female healthcare workers.Various stress at work,long-term mental stress,exposure to iodine in the hospital environment,radiation exposure,and exposure to various special drugs are risk factors for reproductive health and thyroid disease among female health care workers.The reproductive health and thyroid diseases of female medical staff have become problems that cannot be ignored before everyone at present.Purpose:We know the characteristics of gynecological diseases and thyroid diseases among the female medical staff in the hospital provided for an epidemiological study of gynecological diseases and thyroid nodules among medical personnel for reference through the analysis of female gynecological examination and thyroid color ultrasonography results of a female staff of a top-level hospital in Nanyang City in 2016.Method:The working female employees of a top-level hospital in Nanyang City were selected as the study subjects from August 2016 to November 2016,1,107 married female employees were examined and collected.The research content includes: age,position,education level,night shift situation,birth history.Physical examination items include: height,weight,gynecological routine examination,leucorrhea routine,uterine attachment color Doppler ultrasound,cervical fluid-based thin-layer cytology test(TCT),breast infrared examination,thyroid color Doppler ultrasound.The staff from the hospital's physical examination center applied Epidata's double-entry survey data,using SPSS25.0 statistical software in this study.The prevalence rate,composition ratio,mean value,and standard deviation were used for statistical description.The univariate ?2test was used.Logistic regression analysis was used for multifactorial conditions.Result:(1)The prevalence of gynecological diseases was 59.17% among the 1107 subjects,of which the prevalence of chronic cervicitis was the highest,accounting for 39.02% of the total;the prevalence of breast disease was 71.45%,of which the hyperplasia of mammary glands The highest prevalence rate was 67.57% of the total;the detection rate of thyroid nodules was 31.44%,of which the detection rate of solid nodules was the highest accounting for 17.16% of the total number.(2)Using multivariate Logistic regression analysis found:Risk factors for chronic cervicitis among married female workers include age(OR=0.795,95%CI: 0.691 ~ 0.915),education level(OR=1.488,95%CI:1.241 ~1.918),birth history(OR=1.349,95% CI: 1.127 to 1.897).The risk factors of uterine fibroids among married female workers included age(OR=1.581,95%CI:1.290~1.938)and education(OR=0.623,95%CI:0.404~0.960).The risk factors for breast hyperplasia among married female workers included age(OR=1.181,95%CI:1.090 to 1.586),night shift(OR=1.300,95%CI:1.089 to 1.894),and reproductive history(OR=1.474,95% CI: 1.108 to 1.908).The risk factors for thyroid nodules among married female workers included age(OR=1.492,95%CI:1.290 to 1.726)and whether they were working at night(OR=1.521,95%CI:1.278 to 1.972).(3)The prevalence of chronic cervicitis,uterine myoma,and thyroid nodules in breast hyperplasia patients aged 20 to 40 is higher than that in non-breast hyperplasia groups,and the prevalence of chronic cervicitis in breast hyperplasia patients aged 40 to 50 is higher than that in non-breast hyperplasia groups.The prevalence of uterine myoma was higher in patients with 50 years old breast hyperplasia than in non-breast hyperplasia group.both statistically significant P<0.05.Conclusion:(1)655 were diagnosed with gynecological diseases,791 were breast diseases,and 348 were thyroid nodules among the 1,107 female hospital workers in a top three hospital in Nanyang City.The prevalence of chronic cervicitis was 39.02%;the prevalence of uterine fibroids was 17.89%;the prevalence of breast hyperplasia was 67.57%;the detection rate of thyroid nodules was 31.44%.(2)Risk factors for chronic cervicitis in married female workers include age,education and birth history;risk factors for uterine fibroids include age and education;risk factors for hyperplasia of mammary glands include age,night-time and birth History;The risk factors for thyroid nodules included age and night shift.(3)The prevalence of chronic cervicitis,uterine myoma,and thyroid nodules increased in patients with breast hyperplasia from 20 to 40 years old;The prevalence of chronic cervicitis in patients with breast hyperplasia from 40 to 50 years old increased;The prevalence of uterine myoma increased in patients with breast hyperplasia at the age of 50.