孫道旭

[摘要] 目的 觀察生化檢驗在糖尿病診斷中的臨床意義，以期指導(dǎo)臨床下一步治療。 方法 隨機選擇該院2017年8月—2018年8月收治的93例糖尿病患者作為觀察組，并選擇同期93名健康體檢者作為對照組，兩組均給予常規(guī)檢驗和生化檢驗。比較兩組檢驗結(jié)果。 結(jié)果 觀察組空腹血糖、后2 h血糖、甘油三酯、總膽固醇及葡萄糖耐量分別為（10.26±0.89）mmol/L、（12.62±0.93）mmol/L、（3.11±0.20）mmol/L、（8.81±0.74）mmol/L、（14.06±1.10）mmol/L;對照組分別為（6.05±0.47）mmol/L、（5.84±0.50）mmol/L、（1.44±0.05）mmol/L、（4.85±0.33）mmol/L、（8.97±0.65）mmol/L;兩組比較差異有統(tǒng)計學(xué)意義（t=6.552，8.749，6.115，7.426，7.051;P<0.05）;觀察組中，生化檢驗組共檢出88例，診斷準確率為94.6%;常規(guī)檢驗組共檢出70例，診斷準確率為75.3%;兩組診斷準確率比較差異有統(tǒng)計學(xué)意義 （χ2=13.694，P<0.05）。 結(jié)論 生化檢驗可有效診斷糖尿病，具有準確率高、操作時間短以及花費較低等優(yōu)點，能夠為臨床醫(yī)師下一步治療提供良好的信息支持，因此可將其作為診斷糖尿病的一線方案，但仍應(yīng)綜合常規(guī)檢驗以及臨床表現(xiàn)等結(jié)果進行判斷確診。

[關(guān)鍵詞] 生化檢驗;常規(guī)檢驗;葡萄糖耐量;空腹血糖;糖尿病;臨床價值

[中圖分類號] R446.1;R587.1? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）06（a）-0010-03

[Abstract] Objective To observe the clinical significance of biochemical tests in the diagnosis of diabetes， in order to guide the next step in clinical treatment. Methods A total of 93 patients with diabetes mellitus admitted to our hospital from August 2017 to August 2018 were randomly selected as the observation group， and the 93 healthy physical examination patients were selected as the control group. Both groups were given routine and biochemical tests. Compared the two sets of test results. Results Fasting blood glucose， post-2 h blood glucose， triglyceride， total cholesterol and glucose tolerance in the observation group were （10.26±0.89） mmol/L， （12.62±0.93） mmol/L， （3.11±0.20） mmol/L， （8.81±0.74）mmol/L， （14.06±1.10） mmol/L; and in the control group， the data were （6.05±0.47） mmol/L， （5.84±0.50） mmol/L， （1.44±0.05） mmol/L， （4.85± 0.33） mmol/L， （8.97±0.65） mmol/L. The difference between the two groups was significant （t=6.552， 8.749， 6.115， 7.426， 7.051; P<0.05）; In the observation group， the biochemical test group detected 88 cases. The diagnostic accuracy rate was 94.6%. And 70 cases were detected in the routine test group， and the diagnostic accuracy was 75.3%. The diagnostic accuracy of the two groups was significantly different （χ2=13.694， P<0.05）. Conclusion Biochemical tests can effectively diagnose diabetes， and it has the advantages of high accuracy， short operation time and low cost. It can provide good information support for clinicians' next treatment. Therefore， it can be used as a first-line solution for diagnosing diabetes， but it should be judged by comprehensive results such as routine tests and clinical manifestations.

[Key words] Biochemical test; Routine test; Glucose tolerance; Fasting blood glucose; Diabetes; Clinical value