Clinical study on combined test of urine glucose and Microalbumin in the diagnosis of early renal injury in diabetes
糖尿病早期肾损伤诊断中尿糖、尿微量白蛋白联合检验的临床研究

摘要

目的 探究糖尿病肾损伤早期行尿糖联合尿微量白蛋白检验的诊断价值。方法 文章研究人员选取时间2021年4月到2022年7月，均选自我院电子病历系统，共选取研究对象60人，根据受试对象科室进行分组，门诊健康体检人群30人为对照组，内分泌科存在早期肾损伤的30名患者为研究组，2组研究对象均在我院检验科行尿糖、尿微量白蛋白检验，比对2组阳性检出率和诊断准确率。结果 研究组尿微量白蛋白和尿糖检出阳性率远高于对照组，两项指标水平也远超出对照组，P值＜0.05；联合检验诊断准确率显著高于单项检验，P值＜0.05，存在统计学意义。结论 糖尿病肾损伤早期行尿糖联合尿微量白蛋白检验临床诊断准确率更高、可以判定患者肾脏的损伤程度，为内分泌科医师后续治疗提供参考依据。

Abstract

Objective: To explore the diagnostic value of urine glucose combined with urine microalbumin test in the early stage of diabetes renal injury.
Methods: from April 2021 to July 2022, the researchers of the article selected the electronic medical record system of our hospital. A total of 60 subjects were selected. They were divided into groups according to the departments of the subjects. 30 healthy people in the outpatient department were taken as the control group, and 30 patients with early renal injury in the endocrinology department were taken as the study group. The subjects of the two groups were tested for urine sugar and urine microalbumin in the laboratory department of our hospital. The positive detection rate and diagnostic accuracy of the two groups were compared.
Results: the positive rates of urine microalbumin and urine sugar in the study group were much higher than those in the control group, and the levels of the two indexes were also much higher than those in the control group (P < 0.05); The diagnostic accuracy of combined test was significantly higher than that of single test (P < 0.05).
Conclusion  : the clinical diagnostic accuracy of urine glucose combined with urine microalbumin test in the early stage of diabetes renal injury is higher, which can judge the degree of renal injury of patients, and provide reference for endocrinologists for follow-up treatment.