检验医学与临床Issue(24)：3293-3294,2.DOI:10.3969/j.issn.1672-9455.2013.24.021
空腹血糖与糖化血红蛋白联合检测对糖尿病筛查的价值
The combined detection of fasting plasma glucose and glycosylated hemoglobin for screening diabetes
黄生金1
作者信息
- 1. 广西壮族自治区南宁市马山县人民医院检验科 530600
- 折叠
摘要
Abstract
Objective To investigate the clinical value of fasting blood glucose (FPG) and glycosylated hemo-globin joint detection for screening diabetes .Methods 8 634 cases at high risk of diabetes were collected ,then detec-ted their fasting venous blood .Automatic biochemical analyzer was used to detect the FPG and HbA1C levels . Results FPG positive rate was 8 .61% ,the HbA1c positive rate was 7 .20% ,the difference between two methods for screening was not significant(P>0 .05) .The FPG united HbA1c screening one and above was positive in a total of 941 cases ,accounting for 10 .90% ,Significantly higher than the FPG positive ,HbA1C positive or negative and FPG positive or negative ,HbA1C positive (P<0 .05) .319 cases(3 .69% ) and 198 cases(2 .29% ) patients with FPG or HbA1c only positive was Significantly less than the FPG or HbA1C positive .According to the levels of FPG ,physi-cal examination population were divided into comparability of the three groups in terms of age and body mass .Com-pared with FPG<6 .1 mmol/L ,the group of FPG 6 .1 -6 .9 mmol/L HbA1c and FPG levels were significantly in-creased(P<0 .05);the group of FPG >6 .9 mmol/L FPG levels were significantly higher than the other two groups (P<0 .05) .There was a positive correlation between the two indicators .Conclusion The FPG and HbA1C screening for diabetes has a certain rate of misdiagnosis ,the two inspection methods in combination could reduce the rate of misdiagnosis and improve the detection rate has important clinical significance .关键词
空腹血糖/糖化血红蛋白/糖尿病/筛查Key words
fasting blood glucose/glycosylated hemoglobin/diabete/screening引用本文复制引用
黄生金..空腹血糖与糖化血红蛋白联合检测对糖尿病筛查的价值[J].检验医学与临床,2013,(24):3293-3294,2.
