首页|糖化血红蛋白与糖化血清蛋白联合检测对早期妊娠期糖尿病的诊断效果

糖化血红蛋白与糖化血清蛋白联合检测对早期妊娠期糖尿病的诊断效果

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目的 分析糖化血红蛋白和糖化血清蛋白联合检测在早期妊娠期糖尿病中的诊断价值,旨在为早期妊娠期糖尿病寻求有效的检测指标.方法 以 198 例早期妊娠期糖尿病孕妇作为实验组,再选取同期健康孕妇 200 例作为对照组,两组均进行糖化血红蛋白和糖化血清蛋白检测.对比两组孕妇各项检测指标的阳性率,对比三种检测方法的灵敏度、特异度、准确性.结果 实验组孕妇的糖化血红蛋白、糖化血清蛋白以及联合检测的阳性率分别为 83.3%、86.9%、98.0%,明显高于对照组的 12.0%、8.0%、2.0%,差异均具有统计学意义(P<0.05).联合检测的灵敏度、特异度以及准确性分别为 98.0%、98.0%、98.0%,明显高于糖化血红蛋白检测的 83.3%、88.0%、85.7%和糖化血清蛋白检测的 86.9%、92.0%、89.4%,差异具有统计学意义(P<0.05).结论 妊娠期糖尿病在早期可通过联合检测糖化血红蛋白和糖化血清蛋白进行评估和诊断,可显著提高诊断率,具有一定的临床价值.
Effect of combined detection of glycosylated hemoglobin and glycosylated serum protein in the diagnosis of early gestational diabetes mellitus
Objective To analyze the analyze the diagnostic value of combined detection of glycosylated hemoglobin and glycosylated serum protein in the diagnosis of early gestational diabetes mellitus,so as to find effective indicators for detection of early gestational diabetes mellitus.Methods 198 cases of early gestational diabetes mellitus were selected as the experimental group,and 200 healthy pregnant women during the same period were selected as the control group.The glycosylated hemoglobin and glycosylated serum protein were detected in both groups.The positive rates of the two groups of pregnant women were compared,and the sensitivity,specificity and accuracy of the three detection methods were compared.Results The positive rates of glycosylated hemoglobin and glycosylated serum protein alone and in combination in the experimental group were 83.3%,86.9%,and 98.0%,which were significantly higher than 12.0%,8.0%,and 2.0%in the control group,and the differences were all statistically significant(P<0.05).The sensitivity,specificity,and accuracy of the combined detection were 98.0%,98.0%,and 98.0%,which were significantly higher than those of the glycosylated hemoglobin(83.3%,88.0%,and 85.7%)and the glycosylated serum protein(86.9%,92.0%,and 89.4%)alone.The differences were all statistically significant(P<0.05).Conclusion Gestational diabetes mellitus can be evaluated and diagnosed by combined detection of glycosylated hemoglobin and glycosylated serum protein at the early stage,which can significantly improve the diagnostic rate and has certain clinical value.

Glycosylated hemoglobinGlycosylated serum proteinEarly gestational diabetes mellitusDiagnostic value

谭明智、黎相银、罗媚、江静静

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524400 廉江市妇幼保健院

糖化血红蛋白 糖化血清蛋白 早期妊娠期糖尿病 诊断价值

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(10)