糖化血红蛋白与血糖的相关性分析及其对糖尿病诊断敏感性探讨 |
| |
引用本文: | 谭国据,黄焕宜,苏勇,陈俏容.糖化血红蛋白与血糖的相关性分析及其对糖尿病诊断敏感性探讨[J].中国当代医药,2011,18(20):85-86. |
| |
作者姓名: | 谭国据 黄焕宜 苏勇 陈俏容 |
| |
作者单位: | 广东省阳江市人民医院内二科,广东阳江,529500 |
| |
摘 要: | 目的:行糖化血红蛋白(HbA1c)与空腹血糖(FPG)、餐后2h血糖(2hPG)相关性分析,探讨其在糖尿病(DM)诊断中的价值。方法:同时测定150例门诊就诊者FPG、HbA1c、2hPG,将HbA1c按不同切点分组计算各自对DM诊断的灵敏性及特异性。结果:150例就诊患者中确诊109例DM患者,其FPG、HbA1c、2hPG与非DM患者组比较显著增高(P〈0.01);DM组中,HbA1c与FPG、2hPG正相关;HbA1c对DM诊断的灵敏性较FPG好;HbA1c对DM诊断的最佳切点为6.5%。结论:FBG的波动性较大,2hPG检查繁琐,HbA1c测定对DM的诊断有一定价值及优势。
|
关 键 词: | 糖化血红蛋白 空腹血糖 餐后2 h血糖 糖尿病 灵敏性 |
To analysis the correlation of glycated hemoglobin and blood glucose and investigate the sensitivity of glycated hemoglobin in diagnosis of diabetes |
| |
Authors: | TAN Guoju HUANG Huanyi SU Yong CHEN Qiaorong |
| |
Institution: | Department of In Section Ⅱ,the People’s Hospital of Yangjiang City,Guangdong Province,Yangjiang 529500,China |
| |
Abstract: | Objective:To analyze the correlation among glycated hemoglobin(HbA1c) and fasting plasma glucose(FPG) and postprandial 2 h blood glucose(2 h PG),then exploring the value of HbA1c in diagnosis of diabetes.Methods:To determine the FPG,2 h PG,HbA1c for 150 cases of outpatients.Then the patients were divided into 3 groups by different hemoglobin concentration,calculating the sensitivity and specificity for diagnosis of diabetes in 3 groups severally.Results:109 cases were diagnosed DM.FPG,HbA1c and 2 h PG in DM patients were significantly higher(P〈0.01) comparing with the non-DM patients.HbA1c had positive correlation with FPG and 2 h PG.The sensitivity of HbA1c was better than the FPG in diagnosis of diabetes and the best concentration was 6.5%.Conclusion:The FBG is fluctuant and 2 h PG is cumbersome in detecting,so there is value and advantages for HbA1c in diagnosis of diabetes. |
| |
Keywords: | Glycated hemoglobin Fasting plasma glucose Postprandial 2 h blood glucose Diabetes Sensitivity |
本文献已被 CNKI 维普 万方数据 等数据库收录! |