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All Journal E-Jurnal Medika Udayana PREPOTIF : Jurnal Kesehatan Masyarakat
Ala Husain, Alamsyah Ambo
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Health Professions Medicine & Pharmacology Public Health

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PERAN RASIO NEUTROFIL – LIMFOSIT PRA BEDAH SEBAGAI PREDIKTOR NYERI PADA PASIEN YANG MENJALANI OPERASI DEKOMPRESI DAN STABILISASI POSTERIOR (TINJAUAN TERHADAP INTENSITAS NYERI) Rahim, Octaviana Indri Sakti; Ratnawati, .; Ala Husain, Alamsyah Ambo; Ahmad, Muh. Ramli; Wirawan, Nur Surya; Wijaya Tan, Charles
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P14

Abstract

Background: Posterior decompression and stabilization on the vertebrae is a surgical procedure performed to treat the main cause of low back pain. NLR perioperative examination is very rarely used in determining the level of postoperative pain and can help in planning of postoperative analgesic drugs, even though this examination is certainly available as a perioperative assessment. Purpose: This study aims to assess the relationship between NLR preoperative as a predictor of pain with pain intensity and IL-6 levels postoperative in patients undergoing posterior decompression and stabilization surgery. Methods: This research is an analytical observational study with a prospective cohort design, which was carried out at Wahidin Sudirohusodo Hospital. The sample for this study was all patients who underwent elective surgical procedures for Decompression and Posterior Stabilization of the Lumbar Region at Dr. RSUP. Wahidin Sudirohusodo Makassar with 30 samples. Results: There was a strong, significant correlation between the average NRS at rest and the NLR group, as well as the average NRS with movement, p value < 0.05, r > 0.7. In IL-6 postoperative and delta-IL-6 levels, there was a statistically significant difference in IL-6 levels between the two groups with a p value <0.05. There is a significant difference in the need for the opioid Fentanyl in the two groups with a p value <0.05. Conclusion: There was an increase in the pain intensity and IL-6 levels postoperative, as well as an increase in total opioids consumptions in patients undergoing decompression and posterior stabilization of the lumbar region with NLR preoperative ? 2 compared to NLR < 2. NLR can be used as a predictor of postoperative pain which is good, therefore it can be used as a reference for appropriate postoperative pain management. Keywords: posterior decompression and stabilization, pain intensity, interleukin-6, numeric rating scale, neutrophil lymphocyte ratio
KARAKTERISTIK PASIEN PREEKLAMPSIA DI RSIA SITTI KHADIJAH 1 MUHAMMADIYAH MAKASSAR TAHUN 2023 Daniel, Ambarwulan Sepkuanin; Dewi, Anna Sari; Nurdin, Haizah; .Hamsah, M; Ala Husain, Alamsyah Ambo
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.27023

Abstract

Preeklampsia adalah sindrom klinis pada masa kehamilan (setelah kehamilan 20 minggu) yang ditandai dengan peningkatan tekanan darah (>140/90 mmHg) pada wanita yang tekanan darahnya normal pada usia kehamilan sebelum 20 minggu.  Preeklamsia Berat (PEB) adalah sindrom klinis pada masa kehamilan (setelah kehamilan 20 minggu) yang ditandai dengan peningkatan tekanan darah (>160/110 mmHg) pada wanita yang tekanan darahnya normal pada usia kehamilan sebelum 20 minggu. Faktor resiko terjadinya preeklamsia adalah usia, nulliparitas, riwayat preeklamsia sebelumnya, riwayat penyakit hipertensi dan diabetes melitus, riwayat keluarga dan obesitas. Penelitian ini bertujuan untuk mengetahui Karakteristik Pasien Preeklampsia  di RS Sitti Khadijah I Muhammadiyah Cabang Makassar Tahun 2023. Desain penelitian ini adalah analitik dengan pendekatan cross sectional retrospektif. Penelitian ini dilakukan dengan melihat tabel rekapitulasi hasil pengamatan rekam medik di RSIA Sitti Khadijah I Makassar periode 2023. Angka Preeklampsia tahun 2023 didapatkan 36,7% dan Preeklampsia Berat 63,3%. Kelompok usia terbanyak 20-35 tahun, Preeklampsia (81,9%), Preeklampsia Berat (65%), hal ini dikarenakan sampel penelitian mayoritas berusia produktif. Status gravida terbanyak, primigravida (55,6 %). Status gizi terbanyak Obesitas 1 (36,7%). Riwayat penyakit terbanyak hipertensi kronik (38,9%). Preeklampsia dan Preeklampsia Berat didapatkan pada usia produktif yaitu 21-35 tahun, hal ini dikarenakan sampel penelitian mayoritas berusia produktif. Preeklampsia banyak terjadi pada ibu hamil dengan Status Gizi Obesitas, pasien ibu hamil dengan Riwayat Primigravida dan memiliki Riwayat Hipertensi Kronik.
Co-Authors . Ratnawati .Hamsah, M Ahmad, Muh. Ramli Daniel, Ambarwulan Sepkuanin Dewi, Anna Sari Nurdin, Haizah Rahim, Octaviana Indri Sakti Wijaya Tan, Charles Wirawan, Nur Surya