首页|生化检验与尿液检验对糖尿病临床诊断效果的对比

生化检验与尿液检验对糖尿病临床诊断效果的对比

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目的:对比和分析生化检验及尿液检验在糖尿病中的诊断价值.方法:将2022年1月-2023年3月在我院接受诊断的疑似糖尿病患者163例归入至观察组,将147例在我院接受体检的健康体检者归入至对照组,两组研究对象均接受生化检验及尿液检验,比较两组研究对象尿糖及血糖检测结果,其中,血糖指标包括空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)以口服糖耐量检测结果为金标准,对比和分析生化检验与尿液检验在糖尿病中的诊断效能.结果:与对照组相比,观察组尿糖及血糖指标均显著更高(P<0.05).生化检验与尿液检验除阳性预测值无统计学差异(P>0.05),生化检验在糖尿病中的诊断效能均更高(P<0.05).结论:相比于尿液检验,生化检验在糖尿病中的诊断价值显著更高,可使糖耐病的诊断效能得到提升,降低漏、误诊风险,便于临床制定干预方案.
Objective:To compare and analyze the diagnostic value of biochemical test and urine test in diabetes.Methods:163 suspected patients with diabetes who were diagnosed in our hospital from January 2022 to March 2023 were included in the observation group,and 147 health examinees who were examined in our hospital were included in the control group.The subjects of the two groups were subjected to biochemical tests and urine tests.The results of urine sugar and blood sugar tests of the two groups were compared.With the results of oral glucose tolerance test as the gold standard,the diagnostic efficacy of biochemical tests and urine tests in diabetes were compared and analyzed.Result:The levels of urine glucose and glycated hemoglobin(HbAlc),fasting blood glucose(FBG),and 2-hour postprandial blood glucose(2hPG)in the observation group were significantly higher than those in the control group,and the differences in urine glucose and blood glucose levels between the two groups were statistically significant(P<0.05).Compared with urine test,the diagnostic sensitivity,specificity,accuracy and negative predictive value of biochemical test in diabetes were significantly higher.The diagnostic efficacy of the two test methods was statistically significant(P<0.05),and the positive predictive value of biochemical test and urine test was statistically significant(P<0.05).Conclusion:Compared with urine test,biochemical test has significantly higher diagnostic value in diabetes.It can improve the diagnostic efficacy of glucose tolerance,effectively control the risk of missed diagnosis and misdiagnosis,and provide guidance and reference for clinical intervention plans and programs.

diabetesBiochemical testingUrine testUrine glucose levelBlood glucose levelsDiagnostic efficacy

黄凯琪

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厦门市仙岳医院,厦门医学院附属仙岳医院,福建省精神医学中心,福建省精神疾病临床医学研究中心 福建厦门 361012

糖尿病 生化检验 尿液检验 尿糖水平 血糖水平 诊断效能

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(5)
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