首页|临床糖尿病诊断中常规检验与生化检验的价值对比探讨

临床糖尿病诊断中常规检验与生化检验的价值对比探讨

Comparison of Value of Routine Test and Biochemical Test in the Diagno-sis of Clinical Diabetes

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目的 分析糖尿病临床诊断中常规检验与生化检验的价值.方法 选取2022年2月—2023年2月临沂市兰山区半程中心医院收治的500例疑似糖尿病患者作为研究对象进行研究.所有患者均进行常规检验与生化检验,以口服糖耐测试为金标准,对比常规检验与生化检验的阳性例数、确诊例数、误诊例数及漏诊例数,对比常规检验与生化检验的敏感度、特异度、准确率及阳性预测值、阴性预测值.结果 在500例疑似糖尿病患者中,最终确诊糖尿病100例.常规检验诊断阳性96例,其中确诊94例.生化检验诊断阳性99例,其中确诊98例.生化检验误诊率低于常规检验,差异有统计学意义(P<0.05).生化检验特异度、准确率、阳性预测值、阴性预测值数值均比常规检验高,差异有统计学意义(P均<0.05).结论 在糖尿病临床诊断中,生化检验的诊断价值高于常规检验,更利于提高疾病检出率,为临床治疗奠定基础.
Objective To analyze the value of routine test and biochemical test in clinical diagnosis of diabetes.Methods A total of 500 patients with suspected diabetes who were admitted to Lanshan District Bancheng Central Hospital from February 2022 to February 2023 were selected for study.All patients underwent routine and biochemi-cal tests,with oral glucose tolerance test as the gold standard.The number of positive cases,the number of confirmed cases,the number of misdiagnosed cases and the number of missed cases were compared between routine test and bio-chemical test.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of routine test and biochemical test were compared.Results Among the 500 suspected diabetic patients,100 were eventually di-agnosed with diabetes.Routine examination diagnosed 96 positive cases,of which 94 were confirmed.Biochemical tests diagnosed 99 positive cases,of which 98 were confirmed.The misdiagnosis rate of biochemical test was lower than that of routine test,and the difference was statistically significant(P<0.05).The specificity,accuracy,positive predictive value and negative predictive value of biochemical test were higher than those of routine test,and the differ-ences were statistically significant(all P<0.05).Conclusion In the clinical diagnosis of diabetes,the diagnostic value of biochemical test is higher than that of routine test,which is more conducive to improving the detection rate of dis-ease and laying the foundation for clinical treatment.

Diabetes mellitusRoutine testBiochemical testInspection value

刘秀萍

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临沂市兰山区半程中心医院检验科,山东临沂 276000

糖尿病 常规检验 生化检验 检验价值

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(5)
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