摘要
目的探讨糖尿病患者临床诊断中,尿液检验和生化检验的应用价值。方法以2015年1月—2016年1月为选取时限,纳入60例糖尿病患者,将其分为A组和B组,A组30例行生化检验,B组30例行尿液检验。同时选取30名在该院健康体检人员,进行生化常规检查。记录3组甘油三酯(Triglyceride,TG)、餐后2 h血糖(2-hour Postprandial Blood Glucose,2 hPBG)、血清总胆固醇(TC)以及葡萄糖耐量指标;检验有效率、生化指标。结果 A组的TG(9.86±1.25)mmol/L、2 hPBG(11.86±1.26)mmol/L、TC(2.45±1.13)mmol/L以及葡萄糖耐量(10.40±0.77)mmol/L指标与C组[(5.00±0.56)、(6.10±0.65)、(1.02±0.38)、(14.39±1.45)]比较,组间对比差异有统计学意义(t=19.434,P=0.000;t=6.570,P=0.000;t=22.252,P=0.000;t=13.311,P=0.000)。B组的TG(9.85±1.28)mmol/L、2 hPBG(11.88±1.27)mmol/L、TC (2.46±1.16)mmol/L以及葡萄糖耐量(10.43±0.76)mmol/L指标与C组对比差异有统计学意义(t=19.014,P=0.000;t=6.461,P=0.000;t=22.190,P=0.000;t=13.249,P=0.000)。A组和B组TG、2 hPBG、TC以及葡萄糖耐量指标对比,组间差异无统计学意义(P>0.05);A组有效28例(93.33%)高于B组21例(70.00%),组间对比差异有统计学意义(χ~2=5.454,P=0.020);A组GLU(7.14±1.62)mmol/L、LDL-C(3.32±0.73)mmol/L、HDL-C(1.25±0.01)mmol/L和C组(5.50±0.70)mmol/L、(2.60±0.53)mmol/L、(1.60±0.80)mmol/L对比,组间差异有统计学意义(t=5.090,P=0.000;t=4.372,P=0.000;t=2.396,P=0.020);B组GLU(7.05±0.68)mmol/L、LDL-C(3.02±0.72)mmol/L以及HDL-C(1.30±0.50)mmol/L和C组对比,差异有统计学意义(t=8.699,P=0.000;t=2.573,P=0.013;t=2.038,P=0.046)。A组和B组GLU、LDL-C以及HDL-C比较,差异无统计学意义(t=0.280,P=0.780;t=1.602,P=0.114;t=0.548,P=0.586)。结论生化检验应用于糖尿病中,能够对多个指标测定,和尿液测定对比,具有更高有效率。
Central venous infusion technology has been widely used in the treatment of critically ill,tumor,and surgical patients.It has brought many benefits to patients and medical staff,not only reducing the pain of patients,but also reducing the workload of medical staff.However,with the increase in clinical applications,complications of central venous catheterization have been arise from time to time.Blocking of the tube is one of the complications of central venous catheterization,with an incidence rate of 21.3%,which increases with time.When the catheter is blocked,thrombolysis,extubation or re-insertion are needed,increasing the risk of infection and medical costs.At present,it is considered that a sufficient and effective method of flushing and sealing is an important means to reduce and prevent catheter blockage.Therefore,this article expounds the risk factors analysis and clinical nursing intervention of adult central venous catheter blockage.
作者
李梅
LI Mei(Department of Laboratory Medicine,Hekou District Hospital of Traditional Chinese Medicine,Dongying,Shandong Province,257234 China)
出处
《系统医学》
2020年第11期1-3,10,共4页
Systems Medicine
关键词
生化检验
尿液检验
糖尿病
诊断价值
Central venous catheter
Complications
Obstruction
Risk factors
Nursing intervention
New progress
