糖化血红蛋白测定在糖尿病诊断中的临床意义

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目的:探讨评价测定糖尿病患者糖化血红蛋白(HbAlc)水平在临床诊断中的应用意义。方法:随机选取我院收治的80例糖尿病患者为研究对象(观察组),同时选取同期在我院进行健康体检的60例健康正常人作为对照(对照组),对比观察两组患者空腹血糖值以及HbAlc水平,分析糖尿病患者血糖与HbAlc之间的相关性,同时对比分析两组患者并发症发生情况。结果:观察组患者空腹血糖值以及HbAlc水平均明显高于对照组(P<0.05),且糖尿病患者血糖和HbAlc水平呈正相关性。观察组患者出现高血压(67.5%)、视网膜病变(35%)、脂肪肝(37.5%)、脑血管病(45%)等并发症明显高于对照组56.7%、28.3%、26.7%、31.7%、18.3%,差异对比具有统计学意义(P<0.05)。结论:定量测定糖尿病患者血红蛋白水平对于临床诊断、治疗糖尿病提供重要的参考价值,有利于降低糖尿病并发症。 Objective: To evaluate the clinical significance of evaluating the level of HbA1c in diabetic patients. Methods: A total of 80 diabetic patients admitted to our hospital were randomly selected as the study group (observation group). Meanwhile, 60 normal healthy people in our hospital were selected as the control group (control group). The fasting blood glucose And HbA1c levels in patients with diabetes mellitus were analyzed. The correlation between HbA1c and blood sugar in diabetic patients was also analyzed. Complications of two groups of patients were compared. Results: The fasting blood glucose and HbAlc levels in the observation group were significantly higher than those in the control group (P <0.05). There was a positive correlation between the blood glucose level and HbA1c level in the diabetic patients. The complications such as hypertension (67.5%), retinopathy (35%), fatty liver (37.5%) and cerebrovascular disease (45%) in observation group were significantly higher than those in control group 56.7%, 28.3%, 26.7%, 31.7 %, 18.3%, the difference was statistically significant (P <0.05). Conclusion: Quantitative determination of hemoglobin in patients with diabetes mellitus provides an important reference value for clinical diagnosis and treatment of diabetes, which is beneficial to reduce the complications of diabetes.
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