尿沉渣检验在女性念珠菌感染中的诊断价值

Diagnostic value of urine sediment test in candida infection

目的探讨尿沉渣检验在女性念珠菌感染中的诊断价值。方法选择念珠菌感染患者120例为观察组,其中18~25岁、30~35岁、50~60岁各40例,选择同年龄段健康体检者120例作为对照组。采用自动尿沉渣分析仪,Folin―酚试剂比色法和可见光分光光度法对尿液中沉渣、尿蛋白和透光率指标进行分析。结果观察组不同年龄段尿沉渣红细胞、白细胞和上皮细胞数量多于对照组,尿蛋白含量均高于对照组,尿透光率低于对照组,差异均有统计学意义(P<0.05)。结论临床对怀疑念珠菌感染患者可先进行透光率检测,根据透光率结果判断是否需要进行尿沉渣和尿蛋白检测,不仅可提高诊断效率,也能减轻患者负担。

Objective To explore the diagnostic value of urinary sediment test in Candida infection. Methods 120 cases of Candida infection were selected as the observation group,which is divided into three groups,18 to 25 years old,30 to35 years old and 50 to 60 years old with 40 cases for each. 120 cases of family members of patients of the same age were selected as a control group. The urine sedimentation,urine protein and light transmittance were analyzed by automatic urine sediment analyzer,Folin-phenol reagent colorimetry and visible light spectrophotometry. Results The levels of urinary sediment erythrocytes,white blood cells and epithelial cells in the observation group were higher than those in the control group,and the urine protein was higher than that in the control group. The urine transmittance was lower than that of the control group（ P〈0. 05）.Conclusion The potential candidiasis patients can be diagnosed first by light transmittance test. According to the results of light transmission to determine whether it is necessary to apply for urine sedimentation and urinary protein detection,which not only can improve the diagnostic efficiency,but also reduce the burden on patients.