首页|血清自身免疫性抗体联合检测在1型糖尿病诊断中的价值研究

血清自身免疫性抗体联合检测在1型糖尿病诊断中的价值研究

Value of Serum Autoimmune Antibody Combined Detection in the Diagno-sis of Type 1 Diabetes Mellitus

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目的 研究血清谷氨酸脱羧酶抗体(Glutamate Decarboxylase Antibodies,GAD-Ab)、胰岛素自身抗体(Insulin Autoantibodies,IAA)、胰岛细胞抗体(Islet cell antibodies,ICA)联合检测在1型糖尿病(Type 1 Dia-betes Mellitus,T1DM)诊断中的价值.方法 回顾性选取2022年1月—2023年6月烟台市莱阳中心医院诊疗的40例T1DM患者及40名同期来医院体检的健康人群的临床资料,分别设为T1DM组和正常对照组,两组均进行血清GAD-Ab、IAA、ICA检查,研究血清GAD-Ab、IAA、ICA三项联合检测在1型糖尿病诊断中的价值.结果 T1DM组血清GAD-Ab、IAA、ICA水平与正常对照组比较明显增高,差异有统计学意义(P均<0.05);三项抗体联合检测诊断T1DM的敏感性(95.00%)、准确性(93.75%)及阴性预测值(94.87)较单项检测明显提高,差异有统计学意义(χ2=24.126,13.628,12.543,P均<0.05).结论 血清GAD-Ab、IAA、ICA三项联合检测明显提高1型糖尿病诊断价值.
Objective To study the value of serum glutamate decarboxylase antibodies(GAD-Ab),insulin autoanti-bodies(IAA)and islet cell antibodies(ICA)in the diagnosis of type 1 diabetes mellitus(T1DM).Methods Clinical data of forty T1DM patients treated in Yantai Laiyang Central Hospital from January 2022 to June 2023 and forty healthy people who came to the hospital for physical examination during the same period were respectively selected,which were respectively the T1DM group and the normal control group.Serum GAD-Ab,IAA and ICA were detected in both groups.The value of serum GAD-Ab,IAA and ICA combined tests in the diagnosis of type 1 diabetes were studied.Results Serum levels of GAD-Ab,IAA and ICA in T1DM group were significantly higher than those in nor-mal control group,and the differences were statistically significant(all P<0.05).The sensitivity(95.00%),accuracy(93.75%)and negative predictive value(94.87%)of combined detection of three antibodies significantly increased of T1DM than single detection,and the differences were statistically significant(χ2=24.126,13.628,12.543,all P<0.05).Conclusion The combined detection of serum GAD-Ab,IAA and ICA can significantly improve the diagnostic value of type 1 diabetes.

Type 1 diabetesGAD-Ab,IAA,ICADiagnosis

田静、苏兆花、赵艳

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烟台市莱阳中心医院检验科,山东莱阳 265200

日照市人民医院检验科,山东日照 276826

1型糖尿病 血清谷氨酸脱羧酶抗体、胰岛素自身抗体、胰岛细胞抗体 诊断

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(6)
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