尿路感染疾病诊断过程中应用细菌定量计数联合尿沉渣白细胞检验的临床价值  

Clinical value of quantitative bacterial count combined with urinary sediment white blood cell test in the diagnosis of urinary tract infection

作　　者：张任飚 ZHANG Ren-biao(Zhangpu Maternal and Child Health Hospital,Zhangzhou 363200,China)

机构地区：[1]漳浦县妇幼保健院,363200

出　　处：《中国现代药物应用》2024年第22期90-92,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 探索细菌定量计数联合尿沉渣白细胞检验在尿路感染疾病诊断中的临床价值。方法 以85例疑似尿路感染疾病患者作为研究样本,以尿细菌培养检验结果作为金标准,对患者开展细菌定量计数、尿沉渣白细胞检验以及联合检验,对比检验结果。结果 85例疑似患者以尿细菌培养检验结果作为金标准,检出阳性83例,阴性2例。细菌定量计数检验显示,阳性76例,阴性9例。尿沉渣白细胞检验显示,阳性75例,阴性10例。联合检验显示,阳性83例,阴性2例。联合检验的诊断符合率97.65%、灵敏度98.80%高于细菌定量计数检验(89.41%、90.36%)、尿沉渣白细胞检验(88.24%、89.16%),存在差异(P<0.05);细菌定量计数、尿沉渣白细胞检验的诊断符合率、灵敏度比较未见差异(P>0.05);细菌定量计数、尿沉渣白细胞检验以及联合检验的特异度比较均未见差异(P>0.05)。结论 细菌定量计数联合尿沉渣白细胞检验诊断尿路感染疾病精准度较高,可以减少各种因素对诊断产生的干扰,可以为患者病症诊疗提供良好的依据,有助于患者及时确诊病症,临床应用价值显著。Objective To explore the clinical value of quantitative bacterial count combined with urinary sediment white blood cell test in the diagnosis of urinary tract infection.Methods A total of 85 patients with suspected urinary tract infections were selected as research samples.The results of urine bacterial culture test were taken as the gold standard.Quantitative bacterial count,urinary sediment white blood cell test and combined test were carried out on the patients to compare the test results.Results Urine bacterial culture test results of 85 suspected urinary tract infection patients were taken as the gold standard,with 83 positive cases and 2 negative cases.Quantitative bacterial count test was positive in 76 cases and negative in 9 cases;urinary sediment white blood cell test was positive in 75 cases and negative in 10 cases.There were 83 positive cases and 2 negative cases in the combined diagnosis.The diagnostic compliance rate of the combined test was 97.65% and the sensitivity was 98.80%,which were higher than that of quantitative bacterial count(89.41%,90.36%) and urinary sediment white blood cell test(88.24%,89.16%),and there was a difference(P<0.05).There was no difference in the comparison of diagnostic compliance rate and sensitivity of quantitative bacterial count and urinary sediment white blood cell test(P>0.05).No difference was seen in the comparison of the specificity of quantitative bacterial count,urine sediment leukocyte test and the combined test(P>0.05).Conclusion Quantitative bacterial count combined with urinary sediment white blood cell test has a high accuracy for urinary tract infection,which can reduce the interference of various factors on diagnosis,provide a good basis for the diagnosis and treatment of patients,and help patients to diagnose the diseases in time,with significant clinical application value.

关 键 词：细菌定量计数 尿沉渣白细胞检验 联合检验 尿路感染疾病 

分 类 号：R446.12[医药卫生—诊断学] R691.3[医药卫生—临床医学]