尿常规检测在肾脏疾病鉴别诊断中的价值研究

目的探究尿常规检测在肾脏疾病患者临床鉴别诊断中的意义。方法60例肾脏疾病患者,根据疾病类型不同分为试验1组(肾小球性疾病)和试验2组(非肾小球性疾病),每组30例。两组均行尿常规检测。对比两组红细胞计数、均一性红细胞占比、变形红细胞占比、隐血试验阳性率、肾小管上皮细胞检测阳性率、尿蛋白定性检测阳性率。结果试验1组红细胞计数、变形红细胞占比高于试验2组,均一性红细胞占比低于试验2组,差异具有统计学意义(P<0.05)。试验1组隐血试验阳性率为96.67%,高于试验2组的80.00%,差异具有统计学意义(P<0.05)。试验1组肾小管上皮细胞检测阳性率高于试验2组,差异具有统计学意义(P<0.05)。试验1组尿蛋白定性检测阳性率高于试验2组,差异具有统计学意义(P<0.05)。结论在肾脏疾病患者临床鉴别诊断中采取尿常规检测的效果较好。

Study on value of urine routine test in differential diagnosis of renal diseases

Objective To investigate the significance of urine routine test in differential diagnosis of renal diseases.Methods A total of 60 renal diseases patients were divided into experimental group 1(renal glomerular disease)and experimental group 2(non-renal glomerular disease)by different types of disease,with 30 cases in each group.Routine urine test was performed in both groups.The red blood cell count,the proportion of homogeneous red blood cell,the proportion of deformed red blood cell,the positive rate of occult blood test,the positive rate of renal tubular epithelial cell test and the positive rate of urine protein qualitative test were compared between the two groups.Results The red blood cell count and proportion of deformed red blood cell in experimental group 1 was higher than those in experimental group,and the proportion of homogeneous red blood cell was lower than that in experimental group 2.Their difference was statistically significant(P<0.05).The positive rate of occult blood test was 96.67%in experimental group 1,which was higher than 80.00%in experimental group 2,and the difference was statistically significant(P<0.05).The positive rate of renal tubular epithelial cell test in experimental group 1 was higher than that in experimental group 2,and the difference was statistically significant(P<0.05).The positive rate of urine protein qualitative test in experimental group 1 was higher than that in experimental group 2,and the difference was statistically significant(P<0.05).Conclusion Urine routine test shows good effect in clinical differential diagnosis of renal diseases.