血糖检测和尿糖检测在糖尿病患者中的诊断价值比较  

Comparison of the Diagnostic Value of Blood Glucose Test and Urine Glu⁃cose Test in Diabetic Patients

作　　者：李莹 石红霞 孙文龙 LI Ying;SHI Hongxia;SUN Wenlong(Department of Laboratory,Pingluo County People's Hospital,Shizuishan 753400,Ningxia Hui Autonomous Region,China)

机构地区：[1]平罗县人民医院检验科,宁夏石嘴山753400

出　　处：《糖尿病新世界》2024年第12期56-59,共4页Diabetes New World

摘　　要：目的对比在糖尿糖患者检验中血糖检测和尿糖检测的诊断价值。方法选取2023年1月—2024年1月平罗县人民医院收治的132例疑似糖尿病患者为研究对象,所有患者入院后均采用血糖检测和尿糖检测方法进行检验,以口服葡萄糖耐量试验作为金标准,对比血糖检测和尿糖检测在糖尿病患者诊断结果和诊断效能(灵敏度、特异度、准确度、阳性预测值、阴性预测值、漏诊率和误诊率)。结果132例疑似糖尿病患者经口服葡萄糖耐量试验确诊103例,血糖检出阳性患者99例,尿糖检出阳性患者78例。血糖检测糖尿病的阴性预测值、灵敏度、准确度、漏诊率均优于尿糖检测,差异有统计学意义(P均<0.05)。结论相比尿糖检测而言,血糖检测对糖尿病患者诊断的价值更高,检出结果和真实情况更接近,可以为临床的诊治工作提供参考的依据。Objective To compare the diagnostic value of blood glucose test and urine glucose test in diabetic patients.Methods A total of 132 patients with suspected diabetes admitted to Pingluo County People's Hospital from January 2023 to January 2024 were selected as the research objects.All patients were tested by blood glucose detection and urine glucose detection after admission.Oral glucose tolerance test was used as the gold standard.The diag-nostic results and diagnostic efficacy(sensitivity,specificity,accuracy,positive predictive value,negative predictive value,missed diagnosis rate and misdiagnosis rate)of blood glucose detection and urine glucose detection in diabetic patients were compared.Results There were 103 cases diagnosed by oral glucose tolerance test in 132 patients with suspected diabetes,There were 99 patients with positive blood glucose detection and 78 patients with positive urine glucose detection.The negative predictive value,sensitivity,accuracy and missed diagnosis rate of blood glucose test were better than those of urine glucose test,and the differences were statistically significant(all P<0.05).Conclusion Compared with urine glucose test,blood glucose test has higher value in the diagnosis of diabetic patients,and the detection results are closer to the real situation,which can provide reference for clinical diagnosis and treatment.

关 键 词：血糖 全自动生化仪 尿糖检测 糖尿病 

分 类 号：R587.1[医药卫生—内分泌]