Background: Post-surgical pain is a critical issue faced by post-surgical patients. The Neutrophil-Lymphocyte Ratio (NLR) is an index indicating the direction of inflammation. Ketamine is a general anesthetic widely used in surgical procedures that do not require skeletal muscle relaxation. Intravenous ketamine can reduce inflammation through inhibition of the N-methyl-D-aspartate (NMDA) receptor. This demonstrates kematineās anti-inflammatory properties. Objective: To determine the effect of ketamine on neutrophil-lymphocyte ratio (NLR) levels after gynecological laparotomy. Methods: This experimental study, a clinical trial, used a pre-post-test control design, in which variables were measured before and after the intervention. Data were analyzed using paired t-tests and independent t-tests. Results: The comparison of NLR levels between the control and intervention groups after pynecological laparotomy revealed a significant difference, with a higher increase in the control group compared to the intervention group receiving ketamine (p<0.05). Conclusion: Ketamine can reduce postoperative NLR elevations, thereby reducingĀ inflammation.
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