摘要
目的探讨尿沉渣法、干化学法、传统镜检在尿液有形成分检测中的应用价值。方法选取龙岩市中医院肾病科2021年2月—2023年2月收治的80例进行尿液检测的患者,所有患者均接受尿沉渣法、干化学法、传统镜检。以传统镜检结果为“金标准”,分析尿沉渣法、干化学法以及联合检测对尿液有形成分检出率,3种方式检测与“金标准”结果诊断的一致性以及对尿液检测的诊断效能。结果80例患者以传统镜检结果为“金标准”,确诊70例患者存在尿液有形成分,10例患者不存在尿液有形成分。其中尿沉渣法检测与传统镜检结果诊断标准一致性尚可(Kappa=0.507);干化学法检测与传统镜检结果诊断标准一致性尚可(Kappa=0.657);联合检测与传统镜检结果诊断标准一致性较好(Kappa=0.836)。联合检测诊断符合率、敏感度、特异度、阳性预测值、阴性预测值分别为96.25%、97.14%、90.00%、81.82%、98.55%,与单一尿沉渣法(88.75%、92.86%、60.00%、54.55%、94.20%)与干化学法(92.50%、95.71%、70.00%、70.00%、95.71%)比较,差异有统计学意义(P<0.05)。结论尿沉渣法、干化学法均可对尿液有形成分进行检出,且联合检测诊断价值更高。
Objective To investigate the application value of urine sediment method,dry chemical method and traditional microscopic examination in the detection of urine tangible components.Methods A total of 80 patients admitted to the department of nephrology,Longyan Hospital of Traditional Chinese Medicine from February 2021 to February 2023 were selected for urine detection.All patients underwent urine sediment method,dry chemical method and traditional microscopy.Using the traditional microscopic examination results as the"gold standard",the detection rate of urine tangible components by urine sediment method,dry chemical method and combined detection,the consistency of the three methods with the"gold standard"results and the diagnostic efficiency of liquid detection were analyzed.Results Among the 80 patients,the traditional microscopic examination results were used as the"gold standard",and 70 patients were confirmed to have visible urine components and 10 patients were not.The diagnostic criteria of urine sediment detection and traditional microscopic examination results were in acceptable agreement(Kappa=0.507).The diagnostic criteria of dry chemical detection and traditional microscopic examination were in acceptable agreement(Kappa=0.657).The diagnostic criteria of combined detection and traditional microscopy were in good agreement(Kappa=0.836).The diagnostic coincidence rate,sensitivity,specificity,positive predictive value and negative predictive value of combined detection were 96.25%,97.14%,90.00%,81.82%and 98.55%,compared with single urinary sludge method(88.75%,92.86%,60.00%,54.55%,94.20%)and dry chemical method(92.50%,95.71%,70.00%,70.00%,95.71%),with statistically significant differences(P<0.05).Conclusion Both urine sediment method and dry chemical method can detect urine formation,and the combined detection has higher diagnostic value.
作者
李庆和
陈霖
赖巧红
LI Qinghe;CHEN Lin;LAI Qiaohong(Department of Clinical Laboratory,Longyan Hospital of Traditional Chinese Medicine,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2024年第22期77-80,共4页
China Health Standard Management
关键词
尿沉渣法
干化学法
传统镜检
尿液有形成分检测
诊断价值
诊断符合率
urine sediment method
dry chemical method
traditional microscopy
urine visible components detection
diagnostic value
diagnostic coincidence rate
