尿常规与尿微量白蛋白检测在糖尿病早期肾损伤中的诊断价值  

Diagnostic Value of Urine Routine and Urine Microalbumin Detection in Early Diabetic Kidney Injury

作　　者：李德刚 吴安顺 卢堂 LI Degang;WU Anshun;LU Tang(Department of Medical Laboratory,Maguan County Traditional Chinese Medicine Hospital of Yunnan Province,Ma-guan,Yunnan Province,663700 China;Department of Geriatrics,Maguan County Traditional Chinese Medicine Hos-pital of Yunnan Province,Maguan,Yunnan Province,663700 China)

机构地区：[1]云南省马关县中医医院医学检验科,云南马关663700 [2]云南省马关县中医医院老年病科,云南马关663700

出　　处：《糖尿病新世界》2022年第18期55-58,共4页Diabetes New World Magazine

摘　　要：目的 探析尿常规与尿微量白蛋白检测在糖尿病早期肾损伤中的诊断价值。方法 选取2021年1月—2022年2月云南省马关县中医医院糖尿病早期肾损伤患者34例作为研究组,同期选择本院体检人员34名作为对照组。两组患者均接受尿常规、尿微量白蛋白检验。分析两组人员尿常规、尿微量白蛋白检验结果、检出率等指标。结果 研究组尿pH(4.20±0.50)、SG(1.00±0.01)、U-WBC(4.99±0.40)个/HP,对照组为(5.47±0.52)、SG(1.01±0.02)、U-WBC(3.82±0.41)个/HP,差异有统计学意义(P<0.05)。研究组尿常规阳性检出率为58.82%,尿微量白蛋白检出率为94.12%,研究组尿常规阴性检出率低于尿微量白蛋白检出率,差异有统计学意义(P<0.05)。研究组空腹血糖、餐后2 h血糖、葡萄糖耐量、三酰甘油均高于对照组,差异有统计学意义(P<0.05)。结论 尿常规与尿微量白蛋白对糖尿病早期肾损伤诊断有重要意义,为该类合并症患者疾病控制提供支持。Objective To explore the diagnostic value of urine routine analysis and urine microalbumin detection in early diabetic kidney injury.Methods From January 2021 to February 2022,34 patients with early diabetic kidney injury in Maguan County Traditional Chinese Medicine Hospital of Yunnan Province were selected as the research group,and 34 medical examiners from our hospital were selected as the control group during the same period.Both groups of patients received routine urine test and urine microalbumin test.The urine routine,urine microalbumin test results,detection rate and other indicators of the two groups were analyzed.Results Urine pH(4.20±0.50),SG(1.00±0.01),U-WBC(4.99±0.40) pieces/HP in the research group,and urine pH(5.47±0.52),SG(1.01±0.02),U-WBC(3.82±0.41)/HP in the control group,the difference was statistically significant(P<0.05).The positive detection rate of urine routine in the research group was 58.82%,and the detection rate of urine microalbumin was 94.12%,the Positive detection rate of urine routine in the research group was lower than that of urine microalbumin,and the difference was statistically significant(P<0.05).The fasting blood glucose,2 h postprandial blood glucose,glucose tolerance and triacylglycerol in the research group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Urine routine and urine microalbumin are of great significance for the diagnosis of early diabetic kidney injury,and provide support for disease control in patients with such complications.

关 键 词：尿常规 尿微量白蛋白 糖尿病 早期肾损伤 诊断价值 

分 类 号：R587[医药卫生—内分泌]