首页|尿常规检验中尿干化学法联合尿沉渣法诊断尿路感染的价值

尿常规检验中尿干化学法联合尿沉渣法诊断尿路感染的价值

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目的 研究疑似尿路感染患者尿常规检验中应用尿干化学法联合尿沉渣法的诊断价值.方法 回顾性选取山东省聊城市妇幼保健院于2020年4月—2023年9月收治的75例疑似尿路感染患者的临床资料,所有研究对象均实施尿干化学法和尿沉渣法检验,并以尿液细菌培养结果为诊断金标准,对比尿干化学法、尿沉渣法单独及联合检验的诊断效能.结果 金标准结果显示,75例疑似尿路感染患者中,阳性71例,阴性4例;尿干化学法检出阳性62例,阴性13例,其灵敏度、特异度、准确度分别为84.50%、50.00%、82.67%;尿沉渣法检出阳性65例,阴性10例,其灵敏度、特异度、准确度分别为90.14%、75.00%、89.33%;尿干化学法联合尿沉渣法检出的阳性73例,阴性2例,其灵敏度、特异度、准确度分别为98.59、25.00%、94.67%.与单一方法诊断结果相比,尿干化学法联合尿沉渣法联合诊断的灵敏度、准确度均较高,但特异度较低,差异有统计学意义(P均<0.05).结论 在疑似泌尿系统感染患者中,采用尿干化学法联合尿沉渣法检验进行尿常规检查,可以更好地了解患者的病情,同时可以把尿常规作为判断泌尿系统感染重要指标,从而为以后的治疗提供更加可靠的依据.
Value of Urine Dry Chemical Method Combined with Urine Sediment Method in Routine Urine Test in the Diagnosis of Urinary Tract Infection
Objective To investigate the diagnostic value of urine dry chemical method combined with urine sediment method in urine routine test of suspected urinary tract infection.Methods The clinical data of 75 patients with sus-pected urinary tract infection treated in Liaocheng Maternal and Child Health Hospital from April 2020 to September 2023 were retrospectively selected.All of them were tested by urine dry chemical method and urine sediment method.Using the results of urine bacterial culture as the diagnostic gold standard,the diagnostic efficacy values of urine dry chemical method and urine sediment method were compared.Results The gold standard showed that 71 cases were positive and 4 cases were negative among 75 suspected patients with urinary tract infection.Urinary dry chemical method detected 62 positive cases and 13 negative cases,with sensitivity,specificity,and accuracy of 84.50%,50.00%,and 82.67%,respectively.Urine sediment method detected 65 positive cases and 10 negative cases,with sen-sitivity,specificity,and accuracy of 90.14%,75.00%,and 89.33%,respectively.The combination of urine dry chemi-cal method and urine sediment method detected 73 positive cases and 2 negative cases,with sensitivity,specificity,and accuracy of 98.59%,25.00%,and 94.67%,respectively.Compared with the diagnosis results of single method,the sensitivity,accuracy of urine dry chemical method combined with urine sediment method were higher,but the specificity was lower,and the differences were statistically significant(all P<0.05).Conclusion In patients with sus-pected urinary system infection,urine dry chemical method combined with urine sediment method for urine routine test can better understand the condition of patients,and urine routine can also be used as an important indicator to judge urinary system infection,so as to provide a more reliable basis for future treatment.

Urinary tract infectionClinical diagnosisWhite blood cellsRoutine urine testDiagnostic accuracyClinical value

王胜路、刘立翠

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山东省聊城市妇幼保健院检验科,山东聊城 252000

尿路感染 临床诊断 白细胞 尿常规检验 诊断准确性 临床价值

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(7)
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