Ghafur, Aminnudin (2018) Hubungan Antara Kadar Laktat Darah Dengan Derajat Gangguan Fungsional Menurut National Institute Of Health Stroke Scale (Nihss) Pada Penderita Stroke Iskemia Akut. Magister thesis, Universitas Brawijaya.
Abstract
Latar Belakang: Stroke iskemik sekitar 75% disebabkan karena stroke trombosis dan 25% merupakan stroke emboli, Prediktor utama pasien stroke iskmik berdasarkan presentasi klinis awal dengan skala NIHSS. Kadar asam laktat pada saat kedatangan awal pasien merupakan prediktor yang objektif. Tujuan: Untuk mengetahui hubungan antara kadar asam laktat darah saat mulai dirawat dengan defisit neurologis pasien stroke iskemia akut (masuk, keluar, dan perbaikan) yang diukur berdasarkan skor NIHSS. Metode: Penelitian ini merupakan penelitian observasional analitik. Sampel penelitian ini adalah 30 pasien stroke iskemia akut di IGD RSUD Saiful Anwar (RSSA) Malang yang memenuhi kriteria inklusi penelitian. Hasil uji statistik yang digunakan adalah uji normalitas saphiro-wilk (p>0,05). Antara kadar laktat dengan NIHSS digunakan Uji linieritas hubungan 3,7% - 5,8%, dan Uji Chi-square untuk NIHSS keluar (p=0,000) dan perbaikan pasien (p=0,001). Hasil & Kesimpulan: Disimpulkan bahwa tidak ada hubungan antara kadar laktat darah dengan skala NIHSS pada pasien stroke iskemia akut. Stroke iskemia akut setelah resusitasi mempengaruhi hasil penilaian kadar laktat darah. Pasien yang memiliki kadar laktat normal saat perawatan cenderung memiliki manifestasi klinis skala NIHSS baik.. Skala NIHSS sangat baik untuk menilai gangguan fungsi neurologis pasien stroke iskemia akut dan menunjukkan perbaikan yang signifikan.
English Abstract
Background. Ischemic stroke around 75% of stroke due to thrombosis and emboli strokes is 25%, the main Predictor of stroke patients based on clinical presentation of early iskmik with NIHSS scale. Lactic acid levels at the time of the arrival of the initial patients is an objective Predictor. Purpose. This research is investigate the relationship blood lactic acid levels when treated with neurological deficits started to stroke patients of acute ischemia (incoming, outgoing, and repair) NIHSS score based on measured. Methods. This research is observational analytic study. The sample of this research is a 30 stroke patients of acute ischemia in IGD Hospitals Saiful Anwar (RSSA) Unfortunate that meet the criteria of inclusion research. The results of the statistical tests used was Shapiro wilk normality test-(p > 0.05). Between the levels of lactate with NIHSS used Test linieritas relations 3.7%-5.8%, and Chi-square Test for NIHSS out (p = 0.000) and repair patients (p = 0.001). Result & Conclusion. It is concluded that there is no relationship between blood lactate levels with scale NIHSS stroke in patients of acute ischemia. Acute resuscitation after ischemia stroke affects the results of the assessment of the levels of blood lactate. Patients who have normal lactate levels when treatments are likely to have clinical manifestations NIHSS scale well.. NIHSS scale very well to assess neurological function impaired stroke patients of acute ischemia and showed a significant improvement.
Other obstract
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| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/616.81/GHA/h/2018/041906536 |
| Uncontrolled Keywords: | CEREBROVASCULAR DISEASE, STROKE |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.8 Diseases of nervous system and mental disorders > 616.81 Cerebrovascular diseases |
| Divisions: | Profesi Kedokteran > Spesialis Emergensi Medisin, Fakultas Kedokteran |
| Depositing User: | Endang Susworini |
| Date Deposited: | 28 Jan 2020 03:44 |
| Last Modified: | 28 Jan 2020 03:44 |
| URI: | http://repository.ub.ac.id/id/eprint/178410 |
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