| HbA1c对糖尿病诊断价值的探讨 |
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| 引用本文： | 关美萍,薛耀明,谢翠华,符霞军,李际敏,陈晨,张洋,王海明. HbA1c对糖尿病诊断价值的探讨[J]. 中华糖尿病杂志, 2011, 0(11): 819-820 |
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| 作者姓名： | 关美萍 薛耀明 谢翠华 符霞军 李际敏 陈晨 张洋 王海明 |
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| 作者单位： | 南方医科大学南方医院内分泌代谢科,广州510515 |
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| 摘 要： | 目的探讨HbA1c作为糖尿病诊断标准的临床应用价值。方法对43例个体行75gOGTT和Hb1c检测。结果HbA1c≥6．0％和≥6．5％分别作为诊断糖调节异常和糖尿病的标准，其灵敏度分别为70．59％和50．00％，特异度为88．89％和77．78％。结论以HbA0c≥6．0％作为糖调节异常的诊断标准具有较好的临床应用价值，但以HbA。c≥6．5％作为糖尿病诊断标准的应用价值并不满意。
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| 关 键 词： | 糖化血红蛋白 糖尿病 诊断标准 |
Investigation of diagnostic value of HbA1c for diabetes mellitus |
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| Affiliation: | GUAN Mei-ping , XUE Yao-ming , XIE Cui-hua , et al. Department of Endocrinology, Nan fang Hospital, Southern Medical University, Guangzhou 510515, China |
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| Abstract: | Objective Invastigation of the diagnostic values of glycated hemoglobin Alc （HbA1 c） versus oral glucose tolerance test （OCTT） for diabetes mellitus （DM）. Methods 75g-OCTT and HbA1 c data were analyzed in 43 participants. Results The sensitivities （Se） of HbA1 c for the diagnosis of impaired glucose regulation （IGR） and DM were 70.59 % and 50.00 %, the specificities （Sp） of HbA1 c for IGR and DM diagosis were 88.89% and 77.78%, respectively. Conclusions The value of HbA1 c≥ 6 .0% for the diagosis of IGR is very well, while the value of HbA1c≥6. 5% for the diagnosis of DM is not satisfied. |
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| Keywords: | Glycated hemoglobin Diabetes mellitus Diagnostic criteria |
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