浅析尿常规检测在尿路感染诊断中的价值.docVIP

精品论文 参考文献 浅析尿常规检测在尿路感染诊断中的价值 黑龙江省嫩江县伊拉哈镇中心卫生院 161437 摘要：目的：探讨尿常规检测对于尿路感染的临床诊断价值。方法：此次研究的对象是选取本院自2011年7月至2015年7月将在院进行尿常规检查阳性的患者50例（观察组），在选取同时期的在院进行体检的健康体检者50例（对照组）。将其临床资料进行回顾性分析，并对上述两组患者的尿常规检测结果进行对比分析，主要比较尿检结果的WBC、NIT、LEU等指标。结果：观察组患者的大肠埃希菌阳性结果有23例（阳性率为46.0%）；其他的G-杆菌阳性结果有19例（阳性率为38.0%）；肠球菌阳性结果有4例（阳性率为13.3%）；真菌检测阳性结果有3例（阳性率为6.0%）；葡萄球菌阳性结果有1例（阳性率为2.0%）；WBC、NIT、LEU的准确率分别为76.5%、71.3%和78.2%。结论：尿常规检测能够快速、准确的检测，并且具有较高的敏感性和特异性，对于临床尿路感染的诊断提供一定的诊断依据，值得临床应用。 关键词：尿路感染；尿常规检测；临床诊断价值 [Abstract] Objective：To explore the diagnostic value of routine urine test for urinary tract infection. Methods：the research object is selected in the hospital from July 2011 to July 2015 in the hospital routine urine test positive patients（observation group），50 cases in the hospital were selected from the same period in 50 cases of healthy subjects（control group）. The retrospective analysis of the clinical data，and routine urine test results of the two groups of patients were analyzed，WBC，NIT，LEU and other indicators are compared with the test results. Results：the positive results of Escherichia coli group were 23 cases（positive rate 46%）；G- was positive results of other 19 cases（positive rate 38%）；4 cases with positive results of Enterococcus（positive rate 13.3%）；the positive results of detection of fungi in 3 cases（positive rate 6%）；the positive results of Staphylococcus aureus in 1 cases（positive rate 2%）；the accuracy rate of WBC，NIT，LEU were 76.5%，71.3% and 78.2%. Conclusion：the urine routine examination can detect quickly and accurately，and has high sensitivity and specificity. It can provide a basis for clinical diagnosis of urinary tract infection，and it is worthy of clinical application. [Key words] urinary tract infection；urine routine examination；clinical diagnostic value 尿路感染是临床中泌尿外科常见的疾病之一，本病的发病率较高[1]。有临床研究发现导致尿路感染的致病菌主要是大肠埃希菌，其次为其他的G-杆菌（如肺炎克雷伯菌、变形杆菌以及绿假单胞菌等），真菌以及肠杆菌也与本病的发生有一定的关系[2]。在临床中，女性的发病率较男性高，而且本病的复发几率比较大，一般患者在半年内就可能复发，并且还有可能成为慢性尿路感染。临床