联合血常规和尿常规在诊断糖尿病患者早期肾损伤中的价值

Value of Combined Blood Routine and Urine Routine in the Diagnosis of Early Renal Injury in Patients with Diabetes

目的探究联合血常规和尿常规在诊断糖尿病患者早期肾损伤中的价值。方法以2020年8月—2021年8月福建省厦门市翔安区妇幼保健院收治的108例糖尿病合并早期肾损伤患者作为研究对象,并设为观察组。再选取同期本院100例糖尿病患者为对照组。所有患者均接受血常规联合尿常规检验,对比两组受检者的指标水平,以临床综合诊断结果为金标准,对比在观察组患者中,血常规单独检验、尿常规单独检验以及血、尿常规联合检验的阳性率以及诊断效能。结果两组患者的血小板计数、单核细胞计数、淋巴细胞计数、中性粒细胞计数对比,差异无统计学意义(P>0.05);观察组白细胞计数、尿白细胞、尿糖、尿酮体、尿蛋白、尿潜血均比对照组更高,观察组尿比重、酸碱度比对照组更低,差异有统计学意义(P<0.05);不同检测方法的诊断效能对比得出,联合诊断阳性率以及准确度显著高于血常规单独检验、尿常规单独检验,差异有统计学意义(P<0.05);血常规单独检验、尿常规单独检验以及联合诊断敏感度对比,差异无统计学意义(P>0.05)。结论血常规联合尿常规对糖尿病患者早期肾损伤有较高的辅助诊断价值,能够为患者的临床治疗提供有价值的参考依据。

Objective To investigate the value of combined blood and urine routine in the diagnosis of early renal injury in diabetic patients.Methods From August 2020 to August 2021,108 patients with diabetes complicated with early renal injury in Xiang’an District Maternal and Child Health Hospital were taken as research objects and set as observation group.Then 100 patients with diabetes in the same period were selected as the control group.All participants in the study underwent routine blood tests combined with routine urine tests to compare the index levels of the two groups of patients,with the gold standard being the comprehensive clinical diagnostic results.The positive rates and diagnostic efficacy of routine blood tests alone,routine urine tests alone and combined blood and urine tests were compared in the observation group.Results There was no statistically significant difference between the values of platelet count,monocyte count,lymphocyte count,and neutrophil count in the two groups of patients(P>0.05).The observation group had higher white blood cell count,urine leukocytes,urine sugar,urine ketone bodies,urine protein and urine occult blood than the control group,and the observation group had lower urine specific gravity and acidity than the control group,and the difference was statistically significant(P<0.05).Comparison of the diagnostic efficacy of the different tests showed that the combined diagnostic positivity rate and accuracy were significantly higher than those of the blood routine test alone and the urine routine test alone,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of the sensitivity of blood routine alone,urine routine alone,and combined diagnosis(P>0.05).Conclusion Blood routine combined with urine routine has a high auxiliary diagnostic value for early renal injury in diabetic patients,and can provide valuable reference basis for clinical treatment of patients.