优利特US-1680全自动尿液分析系统在糖尿病蛋白尿检验中的临床应用价值

Clinical Value of Uliit US-1680 Automated Urinalysis System in Diabetic Proteinuria Test

目的:探讨优利特US-1680全自动尿液分析系统在糖尿病蛋白尿检验中的临床应用价值。方法:纳入2022年5月~2023年5月本院收治的糖尿病患者68例,均接受优利特US-1680全自动尿液分析系统检验、血清肌酐及血尿氮素检查,对比蛋白尿、血清肌酐以及血尿氮素检验结果并分析不同病程、不同年龄段糖尿病患者蛋白尿发生情况及24h尿微量白蛋白水平。结果:采取优利特US-1680全自动尿液分析系统对68例糖尿病患者中进行检验得出一次性蛋白尿12例(17.65%)、持续性蛋白尿40例、未出现蛋白尿16例;病程<5年蛋白尿+++比例小于蛋白尿+-++,病程5~10年、10~20年、≥20年蛋白+++患者比例大于蛋白+-++、年龄>60岁患者蛋白尿+++比例显著高于30~60岁这一年龄群体、24h尿微量蛋白水平比较年龄>60岁患者高于30~60岁患者、病程>10年患者高于病程≤10年的患者,上述指标差异比较具有统计学意义(P<0.05);血尿素氮与血清肌酐含量升高5例、含量正常63例。结论:优利特US-1680全自动尿液分析系统在糖尿病蛋白尿检验中具有积极价值,不同病程及不同年龄在蛋白尿严重程度上存在明显差异,经系统对相关指标的分析可为糖尿病病情进展提供可靠依据。

Objective:To investigate the clinical application value of the Uliit US-1680 automatic urinalysis system in diabetic proteinuria test.Methods:From May 2022 to May 2023,68 diabetic patients received Uliit US-1680 automatic urinalysis system test,serum creatinine and serum urine nitrogen,compare the results of proteinuria,serum creatinine and serum urine nitrogen and analyzed the occurrence of albuminmin and microalbumin level in 24h.Results:Using Uliit US-1680 automatic urinanalysis system in 68 diabetic patients,12 cases of disposable proteinuria(17.65%),40 cases of persistent proteinuria and 16 cases without proteinuria;Course of<5 years proteinuria+++ratio less than proteinuria+-++,the proportion of patients with protein+++at 5-10,10-20 and 20 years was greater than protein+-++,the proportion of patients with age>60 years was significantly higher than that of the age group of 30 to 60 years.The 24h urinary microprotein levels of patients aged>60 years and patients with disease duration>10 years were higher than those of patients aged 30 to 60 years and patients with 10 years of disease course,respectively,the differences in the above indicators were statistically significant(P<0.05);5 patients had elevated blood urea nitrogen and serum creatinine,and 63 patients had normal levels.Conclusion:Uliit US-1680 automatic urinanalysis system has positive value in diabetic proteinuria test,and there are obvious differences in the severity of proteinuria in different disease courses and ages.The systematic analysis of relevant indicators can provide reliable basis for the progression of diabetes.