摘要
目的评估糖尿病临床诊断中采用常规检验和生化检验的效果。方法选取2021年1月—2023年1月于常熟市第五人民医院检验科就诊的80例疑似糖尿病患者为研究对象,均提供常规检验与生化检验,以葡萄糖耐量试验作为诊断金标准,分析不同检验方式在糖尿病诊断中的效果。结果80例疑似糖尿病患者经过葡萄糖耐量试验结果显示,阳性率为91.25%、阴性率为8.75%;常规检验的阳性率为66.25%、阴性率为33.75%;生化检验的阳性率为88.75%、阴性率为11.25%。生化检验的敏感度(95.89%)、准确性(95.00%)和阳性预测值(98.59%)均高于常规检验,差异有统计学意义(χ^(2)=20.045、24.038、20.045,P<0.05)。常规与生化检验的特异度与阴性预测值比较,差异无统计学意义(P>0.05)。结论糖尿病临床诊断中应用生化检验应用价值高,与常规检验相比具有较高的特异度、敏感度以及准确性。
Objective To evaluate the efficacy of routine and biochemical tests in the clinical diagnosis of diabetes.Methods 80 patients with suspected diabetes who went to the laboratory of the Fifth People's Hospital of Changshu from January 2021 to January 2023 were selected as the research objects.Routine tests and biochemical tests were provided.Glucose tolerance test was used as the diagnostic gold standard to analyze the effect of different test methods in the diagnosis of diabetes.Results The results of glucose tolerance test in 80 patients with suspected diabetes showed that the positive rate was 91.25%and the negative rate was 8.75%;The positive rate and negative rate of routine examination were 66.25%and 33.75%,respectively;The positive rate of biochemical test was 88.75%,and the negative rate was 11.25%.The sensitivity(95.89%),accuracy(95.00%)and positive predictive value(98.59%)of biochemical test were higher than those of conventional test,and the difference was statistically significant(χ^(2)=20.045,24.038,20.045,P<0.05).There was no significant difference in the specificity and negative predictive value between the routine and biochemical tests(P>0.05).Conclusion The application value of biochemical test in clinical diagnosis of diabetes is high,and it has higher specificity,sensitivity and accuracy compared with conventional test.
作者
吴美亚
WU Meiya(Department of Clinical Laboratory,Changshu Fifth People´s Hospital,Changshu,Jiangsu Province,215500 China)
出处
《系统医学》
2023年第8期77-80,共4页
Systems Medicine
关键词
糖尿病
诊断
常规检验
生化检验
敏感度
准确性
阳性预测值
糖化血红蛋白
Diabetes mellitus
Diagnosis
Routine test
Biochemical test
Sensitivity
Accuracy
Positive predictive value
Glycosylated hemoglobin
