首页|尿路感染疾病诊断过程中应用细菌定量计数联合尿沉渣白细胞检验的临床价值

尿路感染疾病诊断过程中应用细菌定量计数联合尿沉渣白细胞检验的临床价值

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目的 探索细菌定量计数联合尿沉渣白细胞检验在尿路感染疾病诊断中的临床价值。方法 以 85 例疑似尿路感染疾病患者作为研究样本,以尿细菌培养检验结果作为金标准,对患者开展细菌定量计数、尿沉渣白细胞检验以及联合检验,对比检验结果。结果 85 例疑似患者以尿细菌培养检验结果作为金标准,检出阳性 83 例,阴性 2 例。细菌定量计数检验显示,阳性 76 例,阴性 9 例。尿沉渣白细胞检验显示,阳性 75 例,阴性 10 例。联合检验显示,阳性 83 例,阴性 2 例。联合检验的诊断符合率 97。65%、灵敏度 98。80%高于细菌定量计数检验(89。41%、90。36%)、尿沉渣白细胞检验(88。24%、89。16%),存在差异(P<0。05);细菌定量计数、尿沉渣白细胞检验的诊断符合率、灵敏度比较未见差异(P>0。05);细菌定量计数、尿沉渣白细胞检验以及联合检验的特异度比较均未见差异(P>0。05)。结论 细菌定量计数联合尿沉渣白细胞检验诊断尿路感染疾病精准度较高,可以减少各种因素对诊断产生的干扰,可以为患者病症诊疗提供良好的依据,有助于患者及时确诊病症,临床应用价值显著。
Clinical value of quantitative bacterial count combined with urinary sediment white blood cell test in the diagnosis of urinary tract infection
Objective To explore the clinical value of quantitative bacterial count combined with urinary sediment white blood cell test in the diagnosis of urinary tract infection.Methods A total of 85 patients with suspected urinary tract infections were selected as research samples.The results of urine bacterial culture test were taken as the gold standard.Quantitative bacterial count,urinary sediment white blood cell test and combined test were carried out on the patients to compare the test results.Results Urine bacterial culture test results of 85 suspected urinary tract infection patients were taken as the gold standard,with 83 positive cases and 2 negative cases.Quantitative bacterial count test was positive in 76 cases and negative in 9 cases;urinary sediment white blood cell test was positive in 75 cases and negative in 10 cases.There were 83 positive cases and 2 negative cases in the combined diagnosis.The diagnostic compliance rate of the combined test was 97.65%and the sensitivity was 98.80%,which were higher than that of quantitative bacterial count(89.41%,90.36%)and urinary sediment white blood cell test(88.24%,89.16%),and there was a difference(P<0.05).There was no difference in the comparison of diagnostic compliance rate and sensitivity of quantitative bacterial count and urinary sediment white blood cell test(P>0.05).No difference was seen in the comparison of the specificity of quantitative bacterial count,urine sediment leukocyte test and the combined test(P>0.05).Conclusion Quantitative bacterial count combined with urinary sediment white blood cell test has a high accuracy for urinary tract infection,which can reduce the interference of various factors on diagnosis,provide a good basis for the diagnosis and treatment of patients,and help patients to diagnose the diseases in time,with significant clinical application value.

Quantitative bacterial countUrinary sediment white blood cell testCombined testUrinary tract infection

张任飚

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363200 漳浦县妇幼保健院

细菌定量计数 尿沉渣白细胞检验 联合检验 尿路感染疾病

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(22)