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尿常规检验在尿路感染患者诊断中的准确率评估分析

Evaluation and Analysis of the Accuracy of Routine Urine Tests in the Diagnosis of Patients with Urinary Tract Infections
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摘要 目的研究分析尿路感染疾病诊断采取尿常规检验的实施效果及诊断准确率。方法选取2022年1月—2023年12月汶上县人民医院收治的150例疑似尿路感染患者为研究对象,均行尿常规检验(包括尿干化学法和尿沉渣检验法),以细菌定量培养为尿路感染诊断金标准,比较单独检验与联合检验在疾病诊断中的作用。结果以细菌定量培养为尿路感染诊断金标准,与单独检验相比,联合检验对尿路感染的检出率较高,差异有统计学意义(P均<0.05)。联合检验的准确率、灵敏度分别为98.00%、98.27%,高于尿干化学法的82.00%、77.59%及尿沉渣检验法的68.00%、60.34%,差异有统计学意义(χ^(2)=33.346、23.395、47.838、50.855,P均<0.05)。结论尿常规联合检验对尿路感染疾病的诊断价值较高。 Objective To study and analyze the implementation effect and diagnostic accuracy of routine urine test in the diagnosis of urinary tract infection.Methods A total of 150 patients with suspected urinary tract infection admit-ted to Wenshang County People's Hospital from January 2022 to December 2023 were selected as the study objects.Routine urine tests(including urine dry chemical method and urine sediment test)were performed.Quantitative bacte-rial culture was used as the gold standard for diagnosis of urinary tract infection,and the role of single test and com-bined test in diagnosis of the disease was compared.Results Quantitative bacterial culture was used as the gold stan-dard for the diagnosis of urinary tract infection.Compared with single test,the detection rate of urinary tract infection was higher in combined test,and the differences were statistically significant(both P<0.05).The accuracy and sensitiv-ity of the combined test were 98.00%and 98.27%,respectively,which were higher than 82.00%and 77.59%of urine dry chemical method and 68.00%and 60.34%of urine sediment test method,and the differences were statistically sig-nificant(χ^(2)=33.346,23.395,47.838,50.855,all P<0.05).Conclusion The combined urine routine test is of high diag-nostic value for urinary tract infection.
作者 朱红梅 李朋 刘云云 ZHU Hongmei;LI Peng;LIU Yunyun(Department of Laboratory,Wenshang County People's Hospital,Jining,Shandong Province,272500 China)
出处 《系统医学》 2024年第10期57-59,共3页 Systems Medicine
关键词 尿常规检验 尿路感染 疾病诊断 诊断准确率 Routine urine test Urinary tract infection Disease diagnosis Diagnostic accuracy rate
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