ปัจจัยที่มีความสัมพันธ์กับการเกิดโรคหลอดเลือดสมองในผู้ป่วยเบาหวาน โรงพยาบาลบรบือ จังหวัดมหาสารคาม

Abstract

Abstract

            This retrospective analytical study aimed to investigate factors associated with the occurrence of stroke and to analyze various clinical and laboratory parameters for predicting the likelihood of stroke in patients with type 2 diabetes who received treatment at the diabetic clinic of Borabue Hospital. A total of 272 patients were included in the study and were divided into two groups: the first group comprised 136 type 2 diabetic patients with cerebrovascular disease, while the second group included 136 diabetic patients without cerebrovascular disease. Data were collected retrospectively from medical records and the hospital database using validated research instruments, including a data recording form reviewed by experts in internal medicine and statistics for accuracy and completeness in addressing the research objectives. The data collection period spanned from January 1, 2021, to December 31, 2024. Data were analyzed using descriptive statistics and inferential statistics, including the Chi-square test and multiple logistic regression.

                  Factors associated with the occurrence of stroke in patients with type 2 diabetes included blood glucose levels, which were identified as the most significantly related factor. A history of comorbidities such as chronic kidney disease, hypertension, hyperlipidemia, and other underlying conditions also influenced stroke risk. Additional factors found to have statistically significant associations with stroke occurrence included gender, history of smoking and alcohol consumption, HDL cholesterol levels, history of diabetes medication use, use of antihypertensive and lipid-lowering medications, and systolic blood pressure.

                  Based on these findings, the study recommends the development of strategic approaches to managing patients with diabetes to reduce the incidence of stroke. Priority should be given to controlling the risk factors identified in this study. Furthermore, it is recommended that Borabue Hospital develop a diabetes care manual and implement proactive educational programs for newly diagnosed patients, particularly those in high-risk groups as identified by this research.

Keywords : type 2 diabetic patients, cerebrovascular disease, factors