孙道旭

[摘要] 目的 观察生化检验在糖尿病诊断中的临床意义，以期指导临床下一步治疗。 方法 随机选择该院2017年8月—2018年8月收治的93例糖尿病患者作為观察组，并选择同期93名健康体检者作为对照组，两组均给予常规检验和生化检验。比较两组检验结果。 结果 观察组空腹血糖、后2 h血糖、甘油三酯、总胆固醇及葡萄糖耐量分别为（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;对照组分别为（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;两组比较差异有统计学意义（t=6.552，8.749，6.115，7.426，7.051;P<0.05）;观察组中，生化检验组共检出88例，诊断准确率为94.6%;常规检验组共检出70例，诊断准确率为75.3%;两组诊断准确率比较差异有统计学意义 （χ2=13.694，P<0.05）。 结论 生化检验可有效诊断糖尿病，具有准确率高、操作时间短以及花费较低等优点，能够为临床医师下一步治疗提供良好的信息支持，因此可将其作为诊断糖尿病的一线方案，但仍应综合常规检验以及临床表现等结果进行判断确诊。

[关键词] 生化检验;常规检验;葡萄糖耐量;空腹血糖;糖尿病;临床价值

[中图分类号] R446.1;R587.1          [文献标识码] A          [文章编号] 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