基层高校校医院3种糖尿病筛查方法效果的比较研究  

Comparative study on the effect of three diabetes screening methods in a university hospital for primary level

作　　者：廖欢 LIAO Huan(Department of Clinical Laboratory,University Hospital of Central China Normal University,Wuhan,Hubei,430079,China)

机构地区：[1]华中师范大学校医院检验科,湖北武汉430079

出　　处：《当代医学》2024年第24期156-158,共3页Contemporary Medicine

摘　　要：目的探讨基层校医院3种糖尿病筛查方法的优缺点及对糖尿病诊断的效果。方法选取2018年6月份参加华中师范大学校医院健康体检的教职员工4353名(包括退休人员),采用随机数字表法进行单纯随机抽样获得样本300名。分别检测抽检者空腹血糖(fasting blood glucose,FBG)、尿糖(urine glucose,UG)及糖化血红蛋白A1c(glycosylated hemoglobin,HbA1c)水平,比较3种检测方法的筛查结果。结果调查对象糖尿病疑似患者96例,糖尿病疑似患病率为32.00%;其中男性疑似患病率为31.33%,女性疑似患病率为32.67%,不同性别疑似患病率比较差异无统计学意义;以40岁为年龄分组界限统计,≤40岁的教职员工糖尿病患病率低于>40岁教职员工,差异有统计学意义(P<0.05)。UG法与FBG法筛选疑似糖尿病患者的准确率比较差异无统计学意义;UG法与FBG法筛选疑似糖尿病患者假阴性率比较差异有统计学意义(P<0.05);UG法筛选疑似糖尿病患者假阴性构成占不符合率高于FBG法(P<0.05)。结论FBG法筛选疑似糖尿病患者较准确可靠,UG法准确率较差,易产生误诊情况。Objective To explore the advantages and disadvantages of three kinds of diabetes screening methods in primary school hospitals and their effects on diabetes diagnosis.Methods A total of 4353 teachers and staff(including retirees)who participated in the physical examination in the University Hospital of Central China Normal University in June 2018 were selected,and 300 samples were obtained by simple random sampling using random number table method.Fasting blood glucose(FBG),urine glucose(UG)and glycosylated hemoglobin A1c(HbA1c)levels were detected respectively,and the screening results of the three detection methods were compared.Results There were 96 suspected patients with diabetes,and the suspected prevalence of diabetes was 32.00%.The suspected prevalence rate was 31.33%in males and 32.67%in females,there was no significant difference in the suspected prevalence rate between different genders.Taking 40 years old as the age group,the prevalence of diabetes among staff≤40 years old was lower than that of staff>40 years old,and the difference was statistically significant(P<0.05).There was no significant difference between UG method and FBG method in screening patients with suspected diabetes;there was significant difference in false negative rate between UG method and FBG method in suspected diabetic patients(P<0.05).The non-coincidence rate of false negative composition in suspected diabetic patients screened by UG method was higher than that by fasting glucose method(P<0.05).Conclusion FBG method is more accurate and reliable in screening suspected diabetic patients,while UG method is less accurate and easy to cause misdiagnosis.

关 键 词：基层医院 糖尿病检测方法 糖化血红蛋白 空腹血糖 尿糖 

分 类 号：R58[医药卫生—内分泌]