首页|糖尿病诊疗中血液生化检验的应用价值

糖尿病诊疗中血液生化检验的应用价值

Application Value of Blood Biochemical Tests in the Diagnosis and Treat-ment of Diabetes Mellitus

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目的 探究血液生化检验在糖尿病诊疗中的应用价值.方法 选取2021年1月—2024年1月无锡锡山人民医院鹅湖分院收治的78例疑似糖尿病患者作为研究对象,以葡萄糖耐量试验结果为金标准,患者均接受常规尿液样本检验、血液生化检验,对不同检验方式检出情况、灵敏度、特异度及准确度进行比较.结果 78例疑似糖尿病患者均接受糖化血红蛋白和餐后2 h血糖试验,结果提示52例糖尿病患者、26例非糖尿病患者;尿液检验结果提示48例糖尿病患者、30例非糖尿病患者;血液生化检验结果提示50例糖尿病患者、28例非糖尿病患者;血液生化检验与尿液检验结果对比,前者检验准确度(94.87%)、灵敏度(94.23%)、特异度(96.15%)均更高(χ2=8.259、4.307、4.127,P均<0.05).结论 糖尿病诊疗中选择血液生化检验效果更佳,相较于尿液检验,前者检验准确度、特异度及灵敏度均更高,具有临床应用价值.
Objective To investigate the application value of blood biochemical tests in diabetes diagnosis and treat-ment.Methods A total of 78 patients with suspected diabetes mellitus who visited Wuxi Xishan People's Hospital Ehu Branch from January 2021 to January 2024 were used as study subjects.The results of glucose tolerance test were taken as the gold standard,and the patients were subjected to routine urine sample test and blood biochemical test to compare the detection,sensitivity,specificity and diagnostic accuracy of different tests.Results A total of 78 sus-pected diabetic patients were subjected to glycosylated hemoglobin and two-hour postprandial glucose test,and the re-sults suggested 52 diabetic patients and 26 non-diabetic patients.Urine test was performed in 48 diabetic and 30 non-diabetic patients.Blood biochemistry test results suggested 50 diabetic and 28 non-diabetic patients.Comparing the results of blood biochemical test and urine test,the former test had higher accuracy(94.87%),sensitivity(94.23%),and specificity(96.15%),and the differences were significantly significant(χ2=8.259,4.307,4.127,all P<0.05).Conclusion The blood biochemical test is more effective in the diagnosis and treatment of diabetes mellitus,and compared with urine test,the former test has higher accuracy,specificity and sensitivity,and has clinical applica-tion value.

Diabetes mellitusGlucose tolerance testUrine sample testBlood biochemical testSpecificitySensi-tivity

黄莉、王小燕

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无锡锡山人民医院鹅湖分院检验科,江苏无锡 214116

糖尿病 葡萄糖耐量试验 尿液样本检验 血液生化检验 特异度 灵敏度

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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