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OGTT和HbA1c在初诊糖尿病中的相关性及重复性研究

来自:中国糖尿病资讯网  编辑:songty|点击数:|2011-12-23

·HbA1c的应用·

  谢志君、刘大利、游煜

  作者单位:400800重庆市万盛区人民医院糖尿病科

  【摘要】   的   探讨OGTT和HbA1c在初诊糖尿病时的准确性和可重复性。   方法   对门诊和住院患者,进行糖尿病初诊时,在不同时间分别进行OGTT试验和HbA1c水平测定。   结果    对96例患者检查结果的分析发现,OGTT对糖尿病诊断的假阳性率为16.67%,阳性率为100%, 重复性达81.2%;HbA1c对糖尿病诊断的阳性率为 75.9%,重复性为99.2%。   结论    糖尿病初诊时,仅按OGTT或者HbA1c会出现一定的误诊或者漏诊,对初诊糖尿病患者应该进行OGTT和HbA1c的联合检查。

  【关键词】口服糖耐量试验;糖化血红蛋白;糖尿病;诊断

  doi:10.3969/j.issn.1006-6187.2011.12.010

  The observation of a correlation and its repeatability of OGTT and HbA1c for the newly diagnosed diabetesXIE Zhi-jun, LIU Da-li, YOU Yu. Diabetes Department, Wansheng District People’s Hospital, Chongqing 400800, China

  【Abstract】   Objective   To observe the correlation and repeatability of OGTT and HbA1c for the new diagnosis of diabetes.   Methods   In the outpatient and hospitalized patients newly diagnosed as diabetes, the OGTT and HbA1c were determined twice during 7 days and compared between No.1 and No.2 results.   Results   The rates of positive diabetes detection and diagnostic reproducibility were 100% (with false of 17%) and 81% respectively for OGTT, and 76% and 99% respectively for HbA1c in 96 patients observation.   Conclusions   The combined OGTT and HbA1c detection is superior to anyone alone in newly diagnosed diabetes mellitus.

  【Key words】Oral gluoose tolerance test; HbA1c; Diabetes mellitus; Diagonosis

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