Diagnostic Value of Blood Glucose,Glycated Hemoglobin A1c,Albumin/Creatinine Ratio and Glomerular Filtration Rate in Patients with Diabetes Nephropathy
Objective To explore the diagnostic value of biochemical tests in patients with diabetes nephropathy.Methods A total of 68 patients with suspected diabetic nephropathy admitted to Taizhou Hospital of Integrated Tradi-tional Chinese and Western Medicine from April 2022 to March 2024 were selected as the study subjects.All patients were tested for blood glucose and glycated hemoglobin A1c,albumin/creatinine ratio,and glomerular filtration rate.With renal biopsy as the gold standard,the diagnostic efficacy(accuracy,sensitivity,specificity,positive predictive value,negative predictive value)of different index combination schemes(A combination regimen:blood glucose and glycated hemoglobin A1c combined with albumin/creatinine ratio,B combination regimen:blood glucose and glycated hemoglobin A1c combined with glomerular filtration rate,C combination regimen:4 indicators combined)were com-pared.Results C combination regimen diagnosed 60 positive cases and 8 negative cases.The sensitivity,accuracy and negative predictive value of C combination regimen were higher than those of A combination regimen and B combina-tion regimen,and the differences were statistically significant(all P<0.05).Conclusion The combined detection of blood glucose,glycated hemoglobin A1c,albumin/creatinine ratio and glomerular filtration rate can effectively detect diabetic nephropathy and provide scientific basis for follow-up treatment.
维普
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