生化检验、尿液检验诊断糖尿病的临床价值分析

Analysis on Clinical Value of Biochemical Test and Urine Tests for Diagnosis of Diabetes

目的:分析生化检验、尿液检验诊断糖尿病的临床价值。方法:选取2023年1—12月泰安八十八医院收治的120例疑似糖尿病患者作为研究对象,均进行生化检验、尿液检验及口服葡萄糖耐量试验检查。以口服葡萄糖耐量试验结果为诊断“金标准”,比较生化检验、尿液检验对糖尿病的检出率及诊断效能。结果:120例疑似糖尿病患者的口服葡萄糖耐量试验结果显示,阳性77例(64.17%)、阴性43例(35.83%)。生化检验阳性75例(62.50%),尿液检验阳性65例(54.17%)。生化检验的糖尿病检出率高于尿液检验,差异有统计学意义(χ^(2)=7.857,P<0.05)。生化检验诊断糖尿病的灵敏度、特异度、准确性、阳性预测值、阴性预测值均高于尿液检验,差异有统计学意义(P<0.05)。结论:相较于尿液检验,生化检验对糖尿病的诊断效能更优,可为临床诊疗提供可靠依据,有助于病情控制。

Objective:To analyze the clinical value of biochemical test and urine test in the diagnosis of diabetes.Methods:A total of 120 suspected diabetes patients admitted to No.88 Hospital in Taian from January 2023 to December 2023 were selected as the study subjects.All patients underwent biochemical test,urine test and oral glucose tolerance test.The result of oral glucose tolerance test was taken as the“gold standard”of the diagnosis.The detection rate of diabetes and diagnostic efficiency of biochemical test and urine test were compared.Results:The results of oral glucose tolerance test of 120 suspected diabetes patients showed that 77 positive cases(64.17%)and 43 negative cases(35.83%).There were 75 positive cases(62.50%)by biochemical test and 65 positive cases(54.17%)by urine test.The detection rate of diabetes by biochemical test was higher than that by urine test,and the difference was statistically significant(χ^(2)=7.857,P<0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of biochemical test in diagnosing diabetes were higher than those of urine test,and the difference was statistically significant(P<0.05).Conclusion:Compared with urine test,biochemical test has a better diagnostic efficiency for diabetes,and can provide a reliable basis for clinical diagnosis and treatment,and help to control the disease.