联合检验尿糖与尿微量白蛋白在临床上的意义

The significance of combined testing of urine sugar and urine microalbumin

目的观察联合检验尿糖与尿微量白蛋白在糖尿病早期肾损伤诊断中的临床意义。方法选取2015年9月-2016年8月期间,东丽医院内分泌科收治的糖尿病患者80例作为观察组,再选择同期于东丽医院体检的健康人群80例作为对照组,观察组及对照组均检验尿糖与尿微量白蛋白,观察两组人群尿糖及尿微量白蛋白检验结果区别。结果观察组尿微量白蛋白、尿糖分别为(22.46±4.16)mg/L和(2.32±0.68)mmol/L,高于对照组的(15.24±4.17)mg/L和(2.03±0.55)mmol/L,差异均有统计学意义(P<0.05);观察组尿微量白蛋白阳性率、尿糖阳性率分别为78.75%和33.75%,高于对照组的0.00%和0.00%,差异均有统计学意义(P<0.05)。结论联合检验尿糖与尿微量白蛋白,可显著提高糖尿病早期肾损伤诊断的准确性与可信度。

Objective To observe the clinical significance of combined testing of urine sugar and urine microalbumin in early diagnosis of renal injury of diabetes mellitus. Methods From September 2015 to August2016,80 people with diabetes of Department of Endocrinology in Dongli Hospital were treated as the observation group,80 cases healthy people with physical examination over the same period were chosen from Dongli Hospital as control group,the observation group and the control group were tested urine sugar and urine microalbumin,observe the difference between the two groups of urine sugar and urine microalbumin test results. Results The urine sugar and urine microalbumin of observation group were respectively（22.46±4.16）mg/L and（2.32±0.68）mmol/L,which were higher than those of control group with（15.24±4.17）mg/L and（2.03±0.55）mmol/L,the differences were statistically significant（P〈0.05）;The positive rates of urine sugar and urine microalbumin in observation group were respectively 78.75% and 33.75%,which were higher than those in control with 0.00% and 0.00%,the differences were statistically significant（P〈0.05）. Conclusion The urine sugar and urine microalbumin test can significantly improve the accuracy and reliability of early diagnosis of renal injury in diabetes mellitus.