Efficacy of urine test in early diagnosis of renal injury in patients with diabetes
尿液检验对糖尿病患者早期肾损伤诊断的效能分析

摘要

目的 观察分析在糖尿病患者早期肾损伤诊断中实施尿液检验的临床效果和应用价值。方法 选择院内就诊的90例糖尿病患者（样本纳入例数：90例；样本纳入时间：2023年5月至2024年5月），所有患者均接受尿液检验，以病理诊断为金标准，分析尿液检验诊断效能。结果 糖尿病早期肾损伤患者的尿微量白蛋白水平、尿葡萄糖水平显著高于糖尿病非早期肾损伤患者，差异具有统计学意义（P＜0.05）；尿微量白蛋白检验与尿葡萄糖检验的诊断效能差异不具有统计学意义（P＞0.05），尿微量白蛋白检验联合尿葡萄糖检验诊断效能显著高于单一使用尿微量白蛋白检验、尿葡萄糖检验，差异具有统计学意义（P＜0.05）。结论 尿液检验可以有效对糖尿病患者早期肾损伤进行诊断，联合采取尿微量白蛋白检验与尿葡萄糖检验具有较高的诊断准确性，有助于为临床诊疗提供依据，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of urine test in the diagnosis of early renal injury in patients with diabetes.
Methods 90 cases of diabetes patients (90 cases included in the sample; the sample included from May 2023 to May 2024) were selected. All patients received urine test, and the diagnostic efficacy of urine test was analyzed with pathological diagnosis as the gold standard.
Results The levels of urinary microalbumin and glucose in patients with early renal injury in diabetes were significantly higher than those in patients with non early renal injury in diabetes (P<0.05); The difference in diagnostic efficacy between urine microalbumin test and urine glucose test is not statistically significant (P>0.05). The diagnostic efficacy of urine microalbumin test combined with urine glucose test is significantly higher than that of using urine microalbumin test or urine glucose test alone, and the difference is statistically significant (P<0.05).
Conclusion   Urine test can effectively diagnose early renal injury in patients with diabetes. The combination of microalbuminuria test and urine glucose test has high diagnostic accuracy, which is helpful to provide basis for clinical diagnosis and treatment and has high application value.