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題 名 | 臺北榮民總醫院新陳代謝科門診糖尿病病患血糖控制狀況=Glycated Hemoglobin Concentration of Diabetic Subjects in the Metabolic Clinic of Veterans General Hospital-Taipei |
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作 者 | 林宏達; 鍾遠芳; 李文齡; 徐菊美; 梁秀娟; 林慧珠; 詹玉蘭; 鄧錦泉; 蔡世澤; | 書刊名 | 中華民國內分泌暨糖尿病學會會訊 |
卷 期 | 12:1=45 1998.10[民87.10] |
頁 次 | 頁11-17 |
分類號 | 415.668 |
關鍵詞 | 糖尿病; 血糖控制; 糖化血色素; Diabetes mellitus; Glycemic control; Glycated hemoglobin; HbAlc; |
語 文 | 中文(Chinese) |
中文摘要 | 臺北榮民總醫院於1998年4-6月計有6,416位新陳代謝科門診病患接受糖化血色素(HbA1c,正常值4.0-5.8%)檢查。將新糖尿病病患、孕婦、合併晚期腎臟病以及在本院就診未滿四個月之糖尿病病患排除,實收5,600病例。依照糖尿病控制方式又分四組:第一組為飲食控制組235人,第二組為口服降血糖藥物組4,018人,第三組為胰島素注射組729人,第四組併用口服降血糖藥物和胰島素注射組618人。此四組HbA1c(%)濃度,平均 ± 標準偏差(%)分別為6.47 ± 1.57;7.49 ± 1.66;8.34 ± 2.14和8.96 ± 1.83。計有2,187人佔總數之39.1%,其HbA1c達到美國糖尿病學會1997年建議的治療目標(HbA1c < 7.0%)或低於本實驗室HbA1c正常最高限的1.2倍以下(也是HbA1c < 7.0%);約有三分之一的病患 (33.4%)其血糖控制不良(HbA1c大於正常上限1.4倍以上,即 > 8.1(%)。 |
英文摘要 | Glycated hemoglobin concentrations (HbA1c) have been checked in 6,416 diabetic subjects in the metabolic clinic of Veterans General Hospital-Taipei from April to June 1998. Five thousand and six hundred cases were enrolled after excluding the newly diagnosed patients, pregnant women, those complicated with end stage renal disease and having followed at the clinic for less than four months. The patients were divided into four groups according to the modes of management. Group 1 were 235 subjects on diet control only; group 2 took oral hypoglycemic agents (OHA), 4,018 patients; group 3 were 729 patients on insulin injections and group 4 treated with OHA and insulin, 618 patients. The mean±SD and median (in parenthesis) of HbA1c (%)in these four groups were 6.47 ± 1.57(6.2), 7.49 ± 1.66(7.2), 8.34 ± 2.14(7.9), and 8.96 ± 1.83(8.7), respectively. There were 2,187 subjects having their HbA1c < 7% which fullfilled the goal of glycemic control suggested by the American Diabetes Association and Staged Diabetes Management. However, we still have 1,873 patients (33.4%) in poor glycemic control with HbA1c > 8.1%. |
本系統中英文摘要資訊取自各篇刊載內容。