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尿路感染诊断中尿常规检验的临床有效性研究 被引量:10

Clinical Effectiveness of Urinary Routine Test in Diagnosis of Urinary Tract Infection
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摘要 目的探讨采用尿常规检验方法完成尿路感染诊断的有效性。方法选取2018年1月1日—2020年12月31日收治的60例尿路感染患者进行试验组诊断研究;同时间段选取2018年1月1日—2020年12月31日60名健康体检人员进行参照组诊断研究;两组研究对象在临床均采用尿常规检验方式完成尿路感染诊断操作;比较最终尿液细菌培养阳性率、亚硝酸盐阳性率以及白细胞计数。结果试验组60例尿路感染患者完成尿常规检验后,共48例患者尿液细菌培养获得阳性结果,达到80.00%阳性率;参照组60名健康体检人员完成尿常规检验后,0例患者尿液细菌培养获得阳性结果,阳性率0%;试验组尿液细菌培养阳性率(80.00%)高于参照组(0%)(P<0.05);47例患者亚硝酸盐最终获得阳性结果,达到78.33%阳性率;参照组60名健康体检人员完成尿常规检验后,0例患者亚硝酸盐最终获得阳性结果,阳性率0%;试验组亚硝酸盐阳性率(78.33%)高于参照组(0%)(P<0.05);试验组白细胞计数(5.99±1.33)个/HP多于参照组白细胞计数(0.45±0.13)个/HP(P<0.05)。结论尿常规检验工作有效开展,可使患者尿路感染诊断效果获得显著提升,对于尿液细菌培养阳性率、亚硝酸盐阳性率可以显著提高,有效明确白细胞计数,充分证明了尿路感染诊断运用于尿常规检验中的临床价值。 Objective To explore the diagnostic effectiveness of urinary tract infection by routine urine test.Methods Selected 60 patients with urinary tract infection admitted from January 1,2018 to December 31,2020 for the test group diagnosis study;selected 60 health examiners from January 1,2018 to December 31,2020 at the same time period as a reference group to conduct a diagnostic study;the two groups of subjects were used routine urine tests to complete the diagnosis of urinary tract infection in the clinic;compared the final urine bacterial culture positive rate,nitrite positive rate and white blood cell count.Results After the 60 patients with urinary tract infection in the test group completed the urine routine test,a total of 48 patients obtained a positive result of urine bacterial culture,reaching a positive rate of 80.00%;after the 60 healthy physical examiners in the reference group completed the urine routine test,0 patients had urine bacterial culture obtained positive results with a positive rate of 0%;the positive rate of bacterial culture in urine of the test group(80.00%)was higher than that of the reference group(0%)(P<0.05);47 patients with nitrite finally got a positive result,reaching 78.33%positive rate;after 60 health examiners in the reference group completed routine urine tests,0 patients finally got a positive result for nitrite,with a positive rate of 0%;the positive rate of nitrite in the test group(78.33%)was higher than that in the reference group(0%)(P<0.05);the white blood cell count of the test group(5.99±1.33)/HP was more than the white blood cell count of the reference group(0.45±0.13)/HP(P<0.05).Conclusion The effective development of routine urine examination can significantly improve the diagnostic effect of urinary tract infection,significantly improve the positive rate of urine bacteria culture and the positive rate of nitrite,effectively clarify the white blood cell count,and fully prove the clinical value of the diagnosis of urinary tract infection in routine urine examination.
作者 陈黎黎 李俊华 王发龙 CHEN Lili;LI Junhua;WANG Falong(Department of Laboratory,Liaocheng People’s Hospital,Liaocheng Shandong 252004,China)
出处 《中国卫生标准管理》 2021年第11期29-31,共3页 China Health Standard Management
关键词 尿常规检验 尿路感染 尿液细菌培养阳性率 亚硝酸盐阳性率 白细胞计数 诊断效果 routine urine test urinary tract infection positive rate of urine bacteria culture nitrite positive rate white blood cell count diagnostic effect
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