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目的:对糖尿病酮症酸中毒诊断中采用血清β-羟丁酸水平检测的临床价值进行研究,为糖尿病酮症酸中毒的诊断提供诊断标准。方法:选取84例糖尿病非酮症酸中毒的患者(非酮症组),40例糖尿病酮症酸中毒的患者(中毒组)和健康体检的60位人群(对照组),对三组人群中的β-羟丁酸、空腹血糖(FBG)和尿酮体结果进行对比分析。结果:经检验后,中毒组患者的β-羟丁酸、空腹血糖(FBG)和尿酮体结果与非酮症组和对照组相比,存在较为明显的差异P<0.05,有统计学意义。结论:血清β-羟丁酸水平对于糖尿病酮症酸中毒的患者具有较高的诊断价值,能够帮助糖尿病酮症酸中毒患者早日进行诊断和治疗,值得临床推广。
OBJECTIVE: To study the clinical value of β-hydroxybutyrate in the diagnosis of diabetic ketoacidosis and to provide diagnostic criteria for the diagnosis of diabetic ketoacidosis. Methods: Eighty-four diabetic patients with non-ketoacidosis (non-ketosis group), 40 patients with diabetic ketoacidosis (poisoning group) and 60 healthy people (control group) were enrolled in this study. Β-hydroxybutyrate, fasting blood glucose (FBG) and urine ketone bodies were compared. Results: Compared with non-ketosis group and control group, β-hydroxybutyric acid, fasting blood glucose (FBG) and urinary ketone bodies in the poisoning group showed significant differences (P <0.05), which were statistically significant. Conclusion: Serum β-hydroxybutyrate has high diagnostic value for patients with diabetic ketoacidosis, which can help patients with diabetic ketoacidosis be diagnosed and treated as soon as possible and is worthy of clinical promotion.