首页|血清C肽与糖化血红蛋白联合检验对糖尿病患者辅助诊断的价值

血清C肽与糖化血红蛋白联合检验对糖尿病患者辅助诊断的价值

Value of Combined Test of Serum C-peptide and Glycosylated Hemoglo-bin A1c in Auxiliary Diagnosis of Diabetic Patients

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目的 探讨血清C肽与糖化血红蛋白诊断糖尿病的价值.方法 选取厦门大学附属第一医院杏林分院于2021年1月—2023年12月收治的200例疑似糖尿病患者为研究对象,均检测C肽与糖化血红蛋白水平,以糖耐量试验为金标准,分析两项指标联合的诊断价值.结果 糖耐量试验结果显示,200例疑似患者中确诊糖尿病 165 例,非糖尿病 35 例;血清C肽联合糖化血红蛋白检查的检出率为 83.50%,高于单一指标的72.50%、74.50%.联合诊断糖尿病的准确度、灵敏度、阴性预测值高于单一指标,差异有统计学意义(P均<0.05).结论 糖尿病诊断时,血清C肽联合糖化血红蛋白可发挥确切价值.
Objective To explore the diagnostic value of serum C-peptide and glycosylated hemoglobin A1c in diabe-tes mellitus.Methods Two hundred patients with suspected diabetes mellitus admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from January 2021 to December 2023 were selected as the study objects.The levels of C-peptide and glycated hemoglobin A1c were detected in all patients.Glucose tolerance test was used as the gold standard to analyze the combined diagnostic value of the two indexes.Results The results of glucose tolerance test showed that 165 of the 200 suspected patients were diagnosed with diabetes mellitus and 35 were non-diabetic.The detection rate of serum C peptide combined with glycated hemoglobin A1c was 83.50%,higher than that of single index of 72.50%and 74.50%.The accuracy sensitivity and negative predictive value of combined diagnosis of diabe-tes were higher than those of single index,and the differences were statistically significant(all P<0.05).Conclusion Serum C-peptide in combination with glycated haemoglobin A1c may be of definite value in the diagnosis of diabetes.

DiabetesSerum C-peptideGlycated hemoglobin A1cSensitivityAccuracy

陈成塔、叶峰山、宋育明、聂力平

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厦门大学附属第一医院杏林分院检验科,福建 厦门 361022

糖尿病 血清C肽 糖化血红蛋白 灵敏度 准确度

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(9)
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