首页|化学发光免疫测定在糖尿病免疫检验中的应用价值分析

化学发光免疫测定在糖尿病免疫检验中的应用价值分析

Application Value of Chemiluminescence Immunoassay in Diabetes Immu-noassay

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目的 探究化学发光免疫测定(chemiluminescence immunoassay,CLIA)在糖尿病(diabetes mellitus,DM)免疫检验中的应用价值.方法 选取福建省龙岩市中医院检验科于2023年1月—2024年1月收治的60例DM患者(观察组)与60名健康志愿者(对照组)为研究对象,均应用CLIA技术进行血清胰岛素(serum insulin,INS)以及C肽(C-peptide,C-P)免疫检验,检测空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postprandial plasma glucose,2 hPG)、糖化血红蛋白(glycated hemoglobin A1c,HbA1c)水平,统计检验结果,评价CLIA诊断效能(灵敏度、准确度、特异度、阳性预测值、阴性预测值).结果 观察组FPG、2 hPG、HbA1c水平高于对照组,差异有统计学意义(P均<0.05).观察组空腹、餐后1 h血清INS与血清C-P低于对照组,但餐后2 hINS与C-P高于对照组,差异有统计学意义(P均<0.05).免疫检验中CLIA对DM诊断的阳性预测值为96.55%(56/58)、阴性预测值为93.55%(58/62)、灵敏度为93.33%(56/60)、特异度为96.67%(58/60)、准确度为95.00%(114/120).结论 CLIA能够为DM诊断提供可靠的检验依据,提升DM诊断效能.
Objective To explore the application value of chemiluminescence immunoassay(CLIA)in immune detec-tion of diabetes mellitus(DM).Methods Sixty patients with DM(observation group)and 60 healthy volunteers(control group)admitted to Department of the Laboratory of Longyan Hospital of Traditional Chinese Medicine in Fujian Prov-ince from January 2023 to January 2024 were selected as the study subjects.serum insulin(INS)and C-peptide(C-P)were tested by CLIA technology.Fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG)and gly-cated hemoglobin A1c(HbA1c)were measured.The test results were statistically analyzed to evaluate the diagnostic efficacy of CLIA(sensitivity,accuracy,specificity,positive predictive value,negative predictive value).Results The levels of FPG,2 hPG and HbA1c in the observation group were higher than those in the control group,and the differ-ences were statistically significant(all P<0.05).Fasting and 1-hour postprandial serum INS and C-P were lower than those in control group,but 2 hINS and C-P postprandial were higher than those in control group,and the differences were statistically significant(all P<0.05).The positive predictive value of CLIA for the diagnosis of DM was 96.55%(56/58),negative predictive value was 93.55%(58/62),sensitivity was 93.33%(56/60),specificity was 96.67%(58/60),and accuracy was 95.00%(114/120).Conclusion CLIA can provide a reliable test basis for the diagnosis of DM and promote the efficiency of DM diagnosis.

Chemiluminescence immunoassayImmune testingDiabetes mellitus

阙晓华、李庆和、蓝丽佳

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福建省龙岩市中医院检验科,福建 龙岩 364000

化学发光免疫测定 免疫检验 糖尿病

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)