尿常规检测在肾脏疾病诊断中的应用价值

Application value of routine urine test in the diagnosis of kidney diseases

目的探讨尿常规检测在肾脏疾病诊断中的应用价值。方法选取2018年1月~2019年5月我院收治的200例疑似肾脏疾病患者作为研究对象,所有患者分别采用尿常规检测方法和显微镜检查方法确诊。比较两种检测方法的红细胞(RBC)计数及形态分类情况、隐血试验、肾小管上皮细胞(REP)检测情况、尿蛋白定性试验、灵敏度及特异性。结果尿常规检测RBC计数和RBC变形均高于显微镜检测,RBC均一形低于显微镜检测,差异有统计学意义(P<0.05)。尿常规检测的镜检>4/HP RBC计数、隐血试验、REP阳性率均高于显微镜检测,差异有统计学意义(P<0.05)。尿常规检测的尿蛋白定性试验高于显微镜检测,差异有统计学意义(P<0.05)。尿常规检测的灵敏度和特异性均高于显微镜检测,差异有统计学意义(P<0.05)。结论尿常规检测在肾脏疾病诊断中的应用价值较高,可准确检测出RBC计数、RBC变形、RBC均一形情况,且隐血试验、REP检测结果以及尿蛋白定性实验结果较明显,具有较高的灵敏度及特异性,可为临床治疗提供参考依据。

Objective To explore the application value of routine urine test in the diagnosis of kidney diseases.Methods A total of 200 patients with suspected kidney disease admitted to our hospital from January 2018 to May 2019 were selected as the study objects,all patients were diagnosed by routine urine test and microscopic examination.The red blood cell(RBC)count,morphological classification,occult blood test,renal tubular epithelial cell(REP)detection,urine protein qualitative test,sensitivity and specificity of the two methods were compared.Results RBC count and RBC deformation in routine urine test were higher than those in microscope test,RBC homogeneity was lower than that in microscope test,the differences were statistically significant(P<0.05).The>4/HP RBC count,positive rates of occult blood test and REP in routine urine test were higher than those in microscope test,the differences were statistically significant(P<0.05).The urinary protein qualitative test of routine urine test was higher than that of microscope test,the difference was statistically significant(P<0.05).The sensitivity and specificity of routine urine tests were higher than those of microscope tests,the differences were statistically significant(P<0.05).Conclusion Routine urine test has a higher application value in the diagnosis of kidney diseases,and can accurately detect RBC count,RBC deformation,and RBC uniformity,and the results of occult blood test,REP test and qualitative urine protein test are more obvious,and have higher sensitivity And specificity can provide a reference for clinical treatment.