首页|β2-微球蛋白与血糖联合检验结果在糖尿病早期肾损伤诊断中的应用价值

β2-微球蛋白与血糖联合检验结果在糖尿病早期肾损伤诊断中的应用价值

Results of β 2-microglobulin and Blood Glucose in Kidney Injury Diagno-sis in Early Stages of Diabetes

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目的 探讨糖尿病早期肾损伤诊断中血糖与β2-微球蛋白(β2-microglobulin,β2-MG)联合应用的效果.方法 选取2023年1-12月龙岩市第一医院收治的200例疑似糖尿病早期肾损伤患者为研究对象.所以患者均接受血糖检查、β2-MG检查、尿常规检查,统计各项检查结果,根据临床最终诊断结果评价血糖+β2-MG对糖尿病早期肾损伤的诊断效能.对比阳性预测值(positive predictive value,PPV)、阴性预测值(negative predictive value,NPV)、灵敏度(sensitivity,SEN)、特异度(specificity,SPE)、准确度(accuracy,ACC).结果 200例疑似糖尿病早期肾损伤患者经临床诊断证实70例(35.00%)为糖尿病早期肾损伤,130例(65.00%)为非糖尿病早期肾损伤;血糖+β2-MG检验检出阳性例数高于血糖+尿常规检验;血糖+β2-MG检验的SEN、SPE、ACC、PPV、NPV分别为94.29%(66/70)、98.46%(128/130)、97.00%(194/200)、97.06%(66/68)、96.97%(128/132)高于对照组的48.57%(34/70)、89.23%(116/130)、75.00%(150/200)、70.83%(34/48)、76.32%(116/152),差异有统计学意义(χ2=35.840、9.590、40.199、16.276、24.905,P均<0.05).结论 通过血糖与β2-MG联合应用可提升糖尿病早期肾损伤诊断结果准确度,为患者健康维护与促进工作组织开展提供可靠检验依据,为糖尿病早期肾损伤诊断效能提升提供指导.
Objective To investigate the effect of combined application of blood glucose and β2-microglobulin(β2-MG)in the diagnosis of early kidney injury in diabetes.Methods A total of 200 patients with suspected early diabetic kidney injury admitted to Longyan First Hospital from January to December 2023 were selected as the study subjects.Therefore,all patients received blood glucose examination,β2-MG examination and urine routine examination,and the results of each examination were counted.According to the final clinical diagnosis results,the diagnostic efficacy of blood glucose+β2-MG on early renal injury in diabetes was evaluated.Results A total of 200 patients with sus-pected early diabetic kidney injury patients were confirmed by clinical diagnosis of 70 cases(35.00%)for early dia-betic kindney injury,130 cases(65.00%)for non-diabetic early kidney injury.The number of positive cases detected by blood glucose+β2-MG test was higher than that of blood glucose+urine routine test;the SEN,SPE,ACC,PPV and NPV of blood glucose+β2-MG test were 94.29%(66/70),98.46%(128/130),97.00%(194/200),97.06%(66/68)and 96.97%(128/132)were highter than those of the control group,which were 48.57%(34/70),89.23%(116/130),75.00%(150/200),70.83%(34/48)and 76.32%(116/152),and the differences were statistically significant(χ2=35.840,9.590,40.199,16.276,24.905,all P<0.05).Conclusion The combined application of blood glucose and β2-MG can improve the accuracy of diagnosis results of early kidney injury in diabetes,provide a reliable test basis for patients'health maintenance and promotion of work organization,and provide guidance for improving the diagnostic efficiency of early renal injury in diabetes.

β 2-MicroglobulinBlood sugarEarly kidney injury in diabetesClinical diagnosis

候文婷、傅吉春

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龙岩市第一医院检验科,福建 龙岩 364000

β2-微球蛋白 血糖 糖尿病早期肾损伤 临床诊断

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(12)