摘要
目的 探讨和分析生化检验在糖尿病诊断中的临床应用价值。方法 本次研究选取在2016年1月-2016年9月期间在我 院检验科进行生化检验的4616名体检者作为研究主体,随机分为甲组和乙组,每组各2308例体检者,甲组体检者进 行空腹血糖检验,而乙组体检者进行糖化血红蛋白检验,对两组检验结果进行分析。结果 甲乙两组糖尿病诊断正 确率间差异对比不存在统计学意义(P>0.05)。糖尿病患者的糖化血红蛋白、空腹血糖水平高于正常体检者,差 异对比存在统计学意义(P<0.05)。结论 在糖尿病诊断中,糖化血红蛋白的应用价值要高于空腹血糖检验,糖化 血红蛋白检验的操作简单,检验出结果的速度快,且诊断正确率高,为糖尿病诊断和后期制订治疗方案提供了依 据,在临床上值得推广应用。
Objective To investigate and analyze the clinical application value of biochemical tests in the diagnosis of diabetes mellitus. Methods A total of 4616 subjects from January 2016- September 2016 in our hospital for biochemical test were selected and randomly divided into group A and group B, 2308 subjects in each group. The fasting blood glucose test was performed in group A, while the glycosylated hemoglobin test was performed in group B, and the results were analyzed and compared. Results There was no significant difference between the two groups in the correct diagnosis rate of diabetes mellitus (P>0.05). Glycosylated hemoglobin and fasting blood glucose levels in diabetic patients were higher than those of normal subjects, and the difference was statistically significant (P<0.05). Conclusion In the diagnosis of diabetes, glycosylated hemoglobin has a higher application value than fasting glucose test, with simple operation, fast of test results and high coincidence rate, which can provide the basis for the diagnosis and treatment of diabetes, it is worthy of clinical application.
【关键词】血糖;糖化血红蛋白;生化检验;糖尿病诊断;应用价值
【中图分类号】R587.1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.03.022
前言
糖尿病是一组以高血糖为特征的代谢性疾病。 其发病率呈逐年上升的趋势,严重影响了患者日常 生活。持续性高血糖状态,很容易引发患者代谢紊 乱,使机体组织器官和系统均受到损害,严重的患者 会出现酮症酸中毒和高渗昏迷,影响了患者身心健康 和生命安全[1]。所以,尽早诊断出并给予积极治疗就 显得很有临床意义。在临床上,生化检验是诊断糖尿 病首选的检查方法,其操作简单,效率明显,对体检 者造成的痛苦比较小,检验费用也很低,且检验结 果的准确率很高[2]。为了探讨和分析生化检验在糖尿 病诊断中的临床应用价值,本次研究选取在2016年 1月~2016年9月期间在我院检验科进行生化检验的 4616名体检者作为研究主体,现做如下总结。
罕少疾病杂志
第24卷, 第 3 期
2019年11月
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