摘要
目的 观察血液生化检验应用于临床糖尿病诊断中的综合价值,以为临床提供依据.方法 将接受诊疗的糖尿病患者35例设为观察组,并将同期于本院接受体检的健康者35例设为对照组.所有入组对象均接受血液生化检验,比较两组血液生化检验指标(空腹血糖、餐后 2 h血糖、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、载脂蛋白a、载脂蛋白b、胱抑素C、同型半胱氨酸).结果 观察组空腹血糖、餐后 2 h血糖、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、载脂蛋白a、载脂蛋白b、胱抑素C、同型半胱氨酸分别为(7.56±1.24)mmol/L、(8.75±1.50)mmol/L、(1.43±0.39)mmol/L、(5.74±0.62)mmol/L、(2.41±0.53)mmol/L、(1.96±0.45)g/L、(0.90±0.14)g/L、(0.87±0.10)mg/L、(11.92±1.51)μmol/L,均高于对照组的(5.32±1.01)mmol/L、(6.12±1.17)mmol/L、(0.97±0.11)mmol/L、(4.58±0.33)mmol/L、(1.85±0.42)mmol/L、(1.49±0.37)g/L、(0.72±0.09)g/L、(0.63±0.07)mg/L、(8.74±1.38)μmol/L,高密度脂蛋白胆固醇(0.78±0.30)mmol/L低于对照组的(1.59±0.22)mmol/L(P<0.05).结论 血液生化检验能够及时反映糖尿病患者体内生理以及病理变化,有助于医生做出正确的诊断和制定有效的治疗方案,值得推广.
Abstract
Objective To observe the comprehensive value of blood biochemical test in clinical diagnosis of diabetes,so as to provide basis for clinical diagnosis.Methods 35 patients with diabetes who received medical treatment were selected as the observation group,and 35 healthy patients who received physical examination in our hospital during the same period as the control group.All enrolled subjects underwent blood biochemical tests,and the blood biochemical tests(fasting blood glucose,2 h postprandial blood glucose,triglyceride,total cholesterol,low density lipoprotein cholesterol,high density lipoprotein cholesterol,apolipoprotein a,apolipoprotein b,cystatin C,homocysteine)of the two groups were compared.Results The fasting blood glucose,2 h postprandial blood glucose,triglyceride,total cholesterol,low-density lipoprotein cholesterol,apolipoprotein a,apolipoprotein b,cystatin C and homocysteine were(7.56±1.24)mmol/L,(8.75±1.50)mmol/L,(1.43±0.39)mmol/L,(5.74±0.62)mmol/L,(2.41±0.53)mmol/L,(1.96±0.45)g/L,(0.90±0.14)g/L,(0.87±0.10)mg/L and(11.92±1.51)μmol/L,which were higher than(5.32±1.01)mmol/L,(6.12±1.17)mmol/L,(0.97±0.11)mmol/L,(4.58±0.33)mmol/L,(1.85±0.42)mmol/L,(1.49±0.37)g/L,(0.72±0.09)g/L,(0.63±0.07)mg/L and(8.74±1.38)μmol/L in the control group;the observation group had lower high density lipoprotein cholesterol of(0.78±0.30)mmol/L than(1.59±0.22)mmol/L in the control group(P<0.05).Conclusion Blood biochemical test can reflect the physiological and pathological changes in the body of diabetes patients in time,which is helpful for doctors to make correct diagnosis and formulate effective treatment plans,and is worth promoting.
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