尿液沉渣隐血检验诊断泌尿系统疾病的价值分析  

Analysis of the value of urine sediment occult blood test for diagnosis of urinary system diseases

作　　者：黄天星 HUANG Tian-xing(Qianshan County People's Hospital,Shangrao 334500,China)

机构地区：[1]铅山县人民医院,334500

出　　处：《中国现代药物应用》2024年第20期64-66,共3页Chinese Journal of Modern Drug Application

摘　　要：目的比较尿液沉渣隐血检验和尿液分析仪检验在诊断和监测泌尿系统疾病中的应用价值。方法选取90例疑似泌尿系统疾病患者,分别接受尿液沉渣隐血检验和尿液分析仪检验。比较两种检验方法的检验结果(红细胞、白细胞、尿蛋白和管型阳性检出率)及诊断效能(敏感度、特异度和准确度)。结果90例患者中,尿液沉渣隐血检验结果显示,65例为红细胞阳性,63例为白细胞阳性,50例为尿蛋白阳性,18例为管型阳性;尿液分析仪检验结果显示,64例为红细胞阳性,62例为白细胞阳性,48例为尿蛋白阳性,10例为管型阳性。两种检验方法的红细胞、白细胞、尿蛋白、管型阳性检出率比较,差异均不具备显著性(P>0.05)。90例患者中,有88例最终确诊为泌尿系统疾病。尿液沉渣隐血检验在泌尿系统疾病诊断中的敏感度、特异度以及准确度依次为92.05%(81/88)、50.00%(1/2)、91.11%(82/90)。尿液分析仪检验在泌尿系统疾病诊断中的敏感度、特异度以及准确度依次为84.09%(74/88)、50.00%(1/2)、83.33%(75/90)。两种检验方法的敏感度、特异度以及准确度比较差异均不具备显著性(P>0.05)。结论尿液沉渣隐血检验和尿液分析仪检验在泌尿系统疾病的诊断和监测中均具有一定的应用价值,虽然两者在敏感度、特异度和准确度方面有些微的差异,但在实际应用中并无明显优劣之分。Objective To compare the application value of urine sediment occult blood test for diagnosis of urinary system diseases.Methods 90 patients with suspected urinary system diseases were selected to undergo urine sediment occult blood test and urine analyzer test respectively.The results(positive detection rates of red blood cells,white blood cells,urinary proteins and tubular patterns)and diagnostic efficacy(sensitivity,specificity and accuracy)of the two tests were compared.Results Of the 90 patients,urine sediment occult blood test results showed that 65 cases were positive for red blood cells,63 cases were positive for white blood cells,50 cases were positive for urinary proteins,and 18 cases were positive for tubular patterns;urine analyzer test results showed that 64 cases were positive for red blood cells,62 cases were positive for white blood cells,48 cases were positive for urinary proteins,and 10 cases were positive for tubular pattern.Comparison of the positive detection rates of red blood cells,white blood cells,urinary proteins,and tubular patterns between the two tests showed that the differences were not significant(P>0.05).Of the 90 patients,88 cases were finally diagnosed with urinary system diseases.The sensitivity,specificity,and accuracy of urine sediment occult blood test in the diagnosis of urinary system diseases were 92.05%(81/88),50.00%(1/2),and 91.11%(82/90).The sensitivity,specificity,and accuracy of the urine analyzer test in the diagnosis of urinary system diseases were 84.09%(74/88),50.00%(1/2),and 83.33%(75/90).The difference in the sensitivity,specificity and accuracy of the two tests was not significant(P>0.05).Conclusion Urine sediment occult blood test and urine analyzer test have certain application value in the diagnosis and monitoring of urinary system diseases,although there are some slight differences between the two in terms of sensitivity,specificity and accuracy,but there is no obvious superiority or inferiority in practical application.

关 键 词：尿液沉渣隐血检验 泌尿系统疾病 尿液分析仪检验 诊断价值 

分 类 号：R446.12[医药卫生—诊断学] R69[医药卫生—临床医学]