血糖全自动生化分析仪与尿液分析仪在检验糖尿病患者血糖、尿糖中的价值研究  

Study on the Value of Blood Glucose Automatic Biochemical Analyzer and Urine Analyzer in Detecting Blood Glucose and Urine Glucose in Diabetic Patients

作　　者：庄志梅 庄华琴[1] 苏美玲[1] ZHUANG Zhimei;ZHUANG Huaqin;SU Meiling(Department of Clinical Laboratory,The Third Hospital of Quanzhou in Fujian Province,Quanzhou 362000,Fujian,China)

机构地区：[1]福建省泉州市第三医院检验科,福建泉州362000

出　　处：《糖尿病新世界》2024年第10期44-47,共4页Diabetes New World

摘　　要：目的研究糖尿病患者应用血糖全自动生化分析仪与尿液分析仪进行血糖、尿糖检验的临床价值。方法选取2022年6月—2023年6月福建省泉州市第三医院收治的100例疑似糖尿病患者为研究对象,采用血糖全自动生化分析仪与尿液分析仪进行检验,以受检者的口服葡萄糖耐量试验结果为金标准,对患者的血糖、尿糖检验结果进行分析,并对不同检验方式的检验结果及诊断效能(灵敏度、特异度、准确度)进行分析。结果100例疑似患者中口服葡萄糖耐量试验确诊阳性88例,阴性12例,经血糖全自动生化分析仪检查诊断阳性87例,阴性13例;经尿糖检查阳性86例,阴性14例;经血糖全自动生化分析仪联合尿糖检查诊断阳性89例,阴性11例;血糖全自动生化分析仪检查的诊断灵敏度为94.32%(83/88),特异度为66.67%(8/12),准确度为91.00%(91/100);尿糖的诊断灵敏度为92.05%(81/88),特异度为58.33%(7/12),准确度为88.00%(88/100);血糖全自动生化分析仪联合尿糖检验的诊断灵敏度为100.00%(88/88),特异度为91.67%(11/12),准确度为99.00%(99/100),联合诊断的灵敏度、准确度更高,差异有统计学意义(χ^(2)=6.809、9.516,P均<0.05)。结论在糖尿病患者的临床检验上,将血糖全自动生化分析仪与尿液分析仪尿糖检验相结合能够大大提高检验结果的准确性和科学性,提高诊断效能,在临床上有借鉴意义。Objective To study the clinical value of blood glucose and urine glucose in diabetic patients with auto-matic biochemical analyzer and urine analyzer.Methods A total of 100 suspected diabetic patients who were exam-ined in the Third Hospital of Quanzhou in Fujian Province from June 2022 to June 2023 were selected as the study ob-jects.All subjects were tested by automatic biochemical blood glucose analyzer and urine analyzer.The blood glucose and urine glucose test results of the patients were analyzed with the oral glucose tolerance test results as the gold stan-dard.The test results and diagnostic efficiency(sensitivity,specificity,accuracy)of different test methods were ana-lyzed.Results Among the 100 suspected patients,88 were confirmed positive and 12 were negative by oral glucose tol-erance test,87 were positive and 13 were negative by blood glucose automatic biochemical analyzer.The urine glu-cose test was positive in 86 cases and negative in 14 cases.89 cases were positive and 11 were negative by automatic biochemical blood glucose analyzer combined with urine glucose test.The diagnostic sensitivity,specificity and accu-racy of blood glucose analyzer were 94.32%(83/88),66.67%(8/12)and 91.00%(91/100)respectively.The diagnostic sensitivity was 92.05%(81/88),the specificity was 58.33%(7/12),and the accuracy was 88.00%(88/100)of urine glu-cose test.The diagnostic sensitivity,specificity and accuracy of blood glucose automatic biochemical analyzer com-bined with urine glucose test were 100.00%(88/88),91.67%(11/12)and 99.00%(99/100),and the sensitivity and ac-curacy of combined diagnosis were higher,and the differences were statistically significant(χ^(2)=6.809,9.516,both P<0.05).Conclusion In the clinical examination of diabetic patients,the combination of automatic biochemical blood glucose analyzer and urine glucose analyzer can greatly improve the accuracy and scientificity of the test results,im-prove the diagnostic efficiency,and have clinical reference significance.

关 键 词：血糖全自动生化分析仪 尿糖检验 糖尿病 临床检验 检验价值 

分 类 号：R587.1[医药卫生—内分泌]