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目的探讨尿沉渣检验在女性念珠菌感染中的诊断价值。方法选择念珠菌感染患者120例为观察组,其中18~25岁、30~35岁、50~60岁各40例,选择同年龄段健康体检者120例作为对照组。采用自动尿沉渣分析仪,Folin―酚试剂比色法和可见光分光光度法对尿液中沉渣、尿蛋白和透光率指标进行分析。结果观察组不同年龄段尿沉渣红细胞、白细胞和上皮细胞数量多于对照组,尿蛋白含量均高于对照组,尿透光率低于对照组,差异均有统计学意义(P<0.05)。结论临床对怀疑念珠菌感染患者可先进行透光率检测,根据透光率结果判断是否需要进行尿沉渣和尿蛋白检测,不仅可提高诊断效率,也能减轻患者负担。
Objective To investigate the diagnostic value of urinary sediment test in female Candida infections. Methods 120 cases of Candida infection were selected as the observation group, of which 40 cases were 18 ~ 25 years old, 30 ~ 35 years old and 50 ~ 60 years old. 120 healthy subjects of the same age group were selected as the control group. Urinary sediment, urinary protein and transmittance were analyzed by automatic urine sediment analyzer, Folin-phenol reagent colorimetry and visible light spectrophotometry. Results The number of urinary sediment erythrocytes, leukocytes and epithelial cells in the observation group was higher than that in the control group. Urine protein content was higher in the observation group than in the control group. Urinary transmittance was lower than that in the control group. The difference was statistically significant (P <0.05). Conclusions In patients with suspected Candida infection, the transmissivity can be detected firstly. Whether the urine sediment and proteinuria need to be detected according to the light transmittance can not only improve the diagnostic efficiency, but also reduce the burden on patients.