常规尿液检验与生化检验在糖尿病诊断中的效果和准确性对比观察

Comparison and Observation of Effect and Accuracy of Conventional Urine Test versus Biochemical Test in Diagnosis of Diabetes Mellitus

目的:探讨在糖尿病诊断中分别应用常规尿液检验与生化检验的临床效果及准确性。方法:2019年1月-2020年1月收治糖尿病患者80例,分为两组。对照组采用常规尿样检验法进行诊断;观察组采用生化检验法,并选取同期非糖尿病患者40例纳入A组,比较观察组与A组血糖各指标及观察组、对照组的诊断准确率、误诊率、漏诊率、患者满意度。结果:观察组的尿糖、空腹血糖(FBG)、糖化血红蛋白(HbA_(1c))、餐后2 h血糖(2 hPBG)及糖负荷2 h糖耐量试验(OGTT 2 h)血糖均高于A组,观察组患者诊断准确率及满意度均高于对照组,误诊率低于对照组,差异均有统计学意义(P<0.05)。结论:对糖尿病患者应用生化检验法施行诊断,临床诊断的准确性更高,可减少误诊、漏诊的概率,患者满意度显著提升。

Objective:To explore the clinical effects and accuracy of conventional urine test and biochemical test in the diagnosis of diabetes mellitus.Methods:From January 2019 to January 2020,80 patients with diabetes mellitus were admitted and divided into two groups.The control group was diagnosed by conventional urine testing;the observation group was diagnosed by biochemical testing,and 40 non-diabetic patients during the same period were included as group A.The blood glucose indicators of the observation group and group A were compared,the diagnosis accuracy,misdiagnosis rate,missed diagnosis rate and patient satisfaction of the observation group and the control group were compared.Results:The urine glucose,fasting blood glucose(FBG),glycosylated hemoglobin(HbA_(1c)),2 h postprandial blood glucose(2 hPBG)and glucose load 2 h oral glucose tolerance test(OGTT 2 h)blood glucose of the observation group were higher than those of group A.The diagnosis accuracy and satisfaction of patients in the observation group were higher than those in the control group,and the misdiagnosis rate was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Applying biochemical tests to diagnose diabetic patients has a higher accuracy of clinical diagnosis,which can reduce the chance of misdiagnosis and missed diagnosis,and improve patient satisfaction significantly.