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血糖检验和尿糖检验诊断糖尿病的临床价值分析

Clinical Value Analysis of Blood Glucose Test and Urine Glucose Test for Diagnosed Diabetes Mellitus

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目的 探讨糖尿病实施血糖检验和尿糖检验联合诊断的临床价值.方法 选取2023年2月—2024年6月北京中西医结合医院收治的84例疑似糖尿病患者为研究对象,所有患者均进行血糖检验、尿糖检验和联合诊断,以糖耐量试验为金标准,探讨血糖检验和尿糖检验联合诊断对糖尿病的临床价值.结果 糖耐量试验诊断结果显示,阳性62例,阴性22例.血糖检验真阳性58例,真阴性20例;尿糖检验的真阳性53例,真阴性18例;联合诊断的真阳性61例,真阴性21例.联合诊断的准确度、灵敏度、特异度和阴性预测高于血糖检验和尿糖检验,差异均有统计学意义(P均<0.05).联合诊断与单一诊断的阳性预测值比较,差异无统计学意义(P>0.05).结论 糖尿病实施血糖检验和尿糖检验联合诊断的效能较高,与糖耐量试验的一致性较高,在临床实践中,应结合血糖检验和尿糖检验的结果等综合因素进行判断,进一步提高患者的治疗与预后.
Objective To explore the clinical value of combining blood glucose test and urine glucose test in the diag-nosis of diabetes mellitus.Methods A total of 84 suspected diabetic patients admitted to Beijing Hospital of Inte-grated Traditional Chinese and Western Medicine from February 2023 to June 2024 were selected as the study sub-jects.All patients underwent blood glucose test,urine glucose test and combined diagnosis.Glucose tolerance test was used as the gold standard to explore the clinical value of combined diagnosis of blood glucose test and urine glucose test in diabetes mellitus.Results The glucose tolerance test showed that 62 cases were positive and 22 cases were negative.There were 58 true positive cases and 20 true negative cases in blood glucose test,53 true positive cases and 18 true negative cases in urine glucose test,61 true positive cases and 21 true negative cases in combined diagnosis.The accuracy,sensitivity,specificity and negative prediction of combined diagnosis were higher than those of blood glucose test and urine glucose test,and the differences were statistically significant(all P<0.05).There was no signifi-cant difference in positive predictive value between combined diagnosis and single diagnosis(P>0.05).Conclusion The combined diagnosis of blood glucose test and urine glucose test in diabetes mellitus has high efficacy and high consistency with glucose tolerance test.In clinical practice,it should be combined with the results of blood glucose test and urine glucose test and other comprehensive factors to further improve the treatment and prognosis of patients.

Diabetes mellitusBlood glucose testUrine glucose testGlucose tolerance testDiagnostic efficacy

魏君辉、臧栋

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北京中西医结合医院检验科,北京 100038

糖尿病 血糖检验 尿糖检验 糖耐量试验 诊断效能

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(20)