首页|血清C肽与糖化血红蛋白联合检验在糖尿病临床诊断中的效果及灵敏度评价

血清C肽与糖化血红蛋白联合检验在糖尿病临床诊断中的效果及灵敏度评价

Efficacy and Sensitivity Evaluation of Serum C-peptide and Glycosylated Hemoglobin Combined Test in the Clinical Diagnosis of Diabetes Mellitus

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目的 探讨临床诊断糖尿病过程中血清C肽与糖化血红蛋白联合检验的灵敏度与效果.方法 选取2021年5月—2023年7月寿光市人民医院收治的52例疑似糖尿病患者为研究对象,均测定血清C肽及糖化血红蛋白,并以临床最终诊断结果为金标准,分析血清C肽、糖化血红蛋白单一及联合诊断价值.结果 血清C肽联合糖化血红蛋白检查在糖尿病患者中诊断准确度(82.69%)、灵敏度(83.78%)、特异度(80.00%)、阳性预测值(91.17%)及阴性预测值(66.67%)均高于单一血清C肽及糖化血红蛋白检查,差异有统计学意义(χ2=5.396、7.361、6.093、8.562、6.141,P均<0.05).结论 血清C肽、糖化血红蛋白用于糖尿病患者中具有较高检出率,且二者联合检查能提高诊断灵敏度、特异度及准确度,能用于指导临床诊疗.
Objective To investigate the sensitivity and effect of serum C-peptide and glycosylated hemoglobin com-bined test in clinical diagnosis of diabetes mellitus.Methods 52 patients with suspected diabetes admitted to Shou-guang People's Hospital from May 2021 to July 2023 were selected as the study objects.Serum C-peptide and glyco-sylated hemoglobin were measured in all patients,and the single and combined diagnostic value of serum C-peptide and glycosylated hemoglobin was analyzed with the final clinical diagnosis result as the gold standard.Results The di-agnostic accuracy(82.69%),sensitivity(83.78%),specificity(80.00%),positive predictive value(91.17%)and nega-tive predictive value(66.67%)of serum C peptide combined with glycated hemoglobin test were higher than those of single serum C peptide and glycated hemoglobin test in diabetic patients,the differences were statistically significant(χ2=5.396,7.361,6.093,8.562,6.141,all P<0.05).Conclusion Serum C-peptide and glycosylated hemoglobin have a high detection rate in diabetic patients,and their combined examination can improve the diagnostic sensitivity,speci-ficity and accuracy,and can be used to guide clinical diagnosis and treatment.

Diabetes mellitusGlycosylated hemoglobinSerum C-peptideSensitivityDiagnostic effect

赵绪光、李丽娟、贾晓瑶

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寿光市人民医院检验科,山东寿光 262700

寿光市人民医院肿瘤内科,山东寿光 262700

糖尿病 糖化血红蛋白 血清C肽 灵敏度 诊断效果

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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