ผลการรักษาผู้ป่วยโรคเบาหวานโรงพยาบาลนครชัยศรี

บทคัดย่อ

Objective: To study the result of treatment of diabetic patients at Nakhonchaisi hospital that achieve

the target of treatment.

Material and methods: A descriptive study collected data from medical record of diabetic patients that treated at Nakhonchaisi hospital from January, 1, 2007 to December, 31, 2007 analized by Pearson Chi-Square.

Result : Six hundred and ninety-eight diabetic patients age between 25-90 years old with age average of 61.1 years old and duration of diagnosis is average 7.0 years. They have average of HbA1C level = 7.6%, Fasting plasma glucose = 157.1 mg% Only 37.8 percent had HbA1C less than 7% and 32.2 percent had fasting plasma glucose between 90-130 mg%. HbA1C level depended on age of patient (p=0.047) while level of cholesterol and LDL depended on sex of patient (p = 0.002, p = 0.024 respectively) Only 27.7 percent can achieve target of cholesterol and LDL control. And Only 52.7 percent can achieve target of Blood pressure control.

Conclusion: The control rate of diabetic patients treated at Nakhonchaisi hospital was less than 50 percent. The hospital should improve the guide line in treatment of DM that focus on changing of behavior in order to increase quality in blood sugar control.