血液联合尿液生化检验在糖尿病肾病早期生化检验中的诊断效能  

Diagnostic Efficacy of Combined Blood and Urine Biochemical Tests in the Early Biochemical Testing of Diabetic Nephropathy

作　　者：莫丽锦 梁家燕 薛莲[1] 韦柳曼 MO Lijin;LIANG Jiayan;XUE Lian;WEI Liuman(Department of Medical Laboratory,Hechi People's Hospital,Hechi 547000,Guangxi Zhuang Autonomous Region,China;Department of Endocrinology,Hechi People's Hospital,Hechi 547000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]河池市人民医院医学检验科,广西河池547000 [2]河池市人民医院内分泌科,广西河池547000

出　　处：《糖尿病新世界》2024年第9期33-36,共4页Diabetes New World Magazine

摘　　要：目的探究血液联合尿液生化检验在糖尿病肾病早期生化检验中的诊断效能。方法随机选取2022年1月—2023年6月河池市人民医院收治的451例糖尿病肾病患者(观察组)及472例单纯2型糖尿病患者(对照组)为研究对象,两组患者均接受血液联合尿液生化检验,对比检验结果。结果观察组血液及尿液生化检验指标高于对照组,差异有统计学意义(P均<0.05)。糖尿病肾病早期诊断中,血液联合尿液生化检验诊断效能更高(曲线下面积为0.980,95%CI:0.969~0.988,灵敏度为91.80%,特异度为98.52%)。结论糖尿病肾病早期生化检验中血液联合尿液生化检验的诊断价值较高。Objective To investigate the diagnostic efficacy of combined blood and urine biochemical tests in the early biochemical testing of diabetic nephropathy.Methods A total of 451 patients with diabetic nephropathy(observation group)and 472 patients with simple type 2 diabetes mellitus(control group)admitted to the Hechi People's Hospital from January 2022 to June 2023 were randomly selected as the study objects.Both groups of patients received blood and urine biochemical tests,and the test results were compared.Results The biochemical indexes of blood and urine in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).In the early diagnosis of diabetic nephropathy,the diagnostic efficiency of blood combined with urine biochemical test was higher(area under curve was 0.980,95%CI:0.969-0.988,sensitivity was 91.80%,specificity was 98.52%).Conclusion The diagnostic value of blood combined with urine biochemical tests in the early biochemical testing of diabetic nephropathy is high.

关 键 词：糖尿病肾病 2型糖尿病 血液 尿液 生化检验 诊断效能 

分 类 号：R587.2[医药卫生—内分泌] R692.9[医药卫生—内科学]