Gambaran dislipidemia pada pasien stroke akut di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau periode Januari-Desember 2019

D. P. Nugraha, Eka Bebasari, Sahwal Sahputra
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Abstract

Abstrak. Stroke adalah penyakit gangguan fungsional otak yang timbul mendadak dan berlangsung lebih dari 24 jam atau berakhir dengan kematian tanpa diketahui penyebab yang jelas selain gangguan vaskuler. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah dislipidemia. Tujuan penelitian ini adalah untuk mengetahui gambaran dislipidemia pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif  dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di  RSUD Arifin Achmad Provinsi Riau  Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 103 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada jenis kelamin laki-laki yaitu 63 orang (61,2%). Usia terbanyak terjadi pada rentang usia 51-65 tahun sebanyak 54 (52,4%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 59 orang (57,3%). Kadar kolesterol total terbanyak pada  rentang normal yaitu sebanyak 46 orang (44,7%). Kadar High Density Lipoprotein (HDL)  terbanyak pada rentang normal yaitu sebanyak 49 orang (47,6%). Kadar Low Density  Lipoprotein (LDL) terbanyak pada kategori tinggi sebanyak 26 orang (25,2%) dan normal tapi berisiko sebanyak 26 orang (25,2%). Kadar trigliserida terbanyak pada kategori normal sebanyak 65 orang (63,1%). Terdapat 17 orang (16,5%) pasien dislipidemia, sebanyak 9 orang (52,9%) adalah stroke iskemik. Kesimpulan dari penelitian ini adalah dislipidemia lebih banyak terjadi pada stroke iskemik disbanding stroke hemoragik.Kata kunci:  dislipidemia, stroke, stroke non hemoragikAbstract. Stroke is a disease of the brain functional disorders that arises suddenly and lasts more than 24 hours or ends in death situation without a known cause other than vascular disorders. Strokes are generally classified into ischemic stroke (non-hemorrhagic) and hemorrhagic stroke, One of the risk factors of stroke is dyslipidemia. The aim of this study was to describe dyslipidemia in acute stroke patients at Arifin Achmad Regioal General Hospital of Riau Province in January to December 2019. This was a descriptive study design with cross sectional study method by using secondary data of the acute stroke patient's medical record at Arifin Achmad Regional General Hospital of Riau Province in January to December 2019 with a total sample of 103 cases. The results show that stroke is more common in male that is 63 (61.2%) cases, and the majority happened within the 51-65 years age groups with 54 (52.4%) cases. Most of the stroke’s type in patients were hemorrhagic stroke in 59 (57.3%) cases. Highest total of cholesterol level remains normal in 46 (44.7%) cases. The majority of patients still presented with normal level of High Density Lipoprotein (HDL) in 49 (47.6%) cases. In contrary, most patients presented with high level of Low Density Lipoprotein (LDL) in 26 (25.2%) cases and also with normal level but considered as high-risk group in  26 (25.2%) cases. Most patients still presented with normal level of triglyceride in 65 (63.1%) cases. There were 17 (16.5%) cases of patient with dyslipidemia, 9 of them were considered as ischemic stroke (52.9%). The conclusion of this study is that dyslipidemia commonly occurs in ischemic stroke types compared to a hemorrhagic stroke.Keywords: dyslipidemia, stroke, non hemorrhagic stroke
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抽象。中风是一种大脑功能障碍,持续时间超过24小时,或者在血管疾病之外没有明显的死因的情况下死亡。中风通常被归类为缺血性中风或非出血性中风和出血性中风。中风的一个危险因素是退血症。本研究的目的是了解廖内阿奇马省1月至2019年12月急性中风病人分泌物情况的情况。使用的研究设计是一项交叉设计的描述性研究,该研究采用了廖内亚希马省急性中风病例记录的次要数据,样本总数为103例。研究表明,男性63人(61.2%)经常中风。大多数年龄发生在51-65岁之间54(52.4%)。最常见的中风是出血性中风,即59人(57.3%)。正常范围内的总胆固醇水平为46人(44.7%)。在正常范围内,高密度脂蛋白(HDL)的含量为49人(47.6%)。低密度脂蛋白密度在26人(252%)和正常但风险为26人(252%)的高密度密度最高。正常情况下,甘油三酯的含量为65人(63.1%)。17人(16.5%)患血液病的患者,多达9人(52.9%)是缺血性中风。这项研究的结论是缺血性中风和出血性中风的发病率更高。关键词:dislidemia, stroke,非血性中风。中风是大脑功能障碍的一种疾病,患者突然出现并停滞了24小时,死时却不知道原因,而不是血管疾病。中风通常被分类为缺血性中风和缺血性中风,这是中风风险因素之一是退行性疾病。这项研究的目标是在2019年1月至2019年12月的阿利芬亚马地区总医院描述一种急性中风的疾病。这是一种具有交叉研究方法的描述研究方法,使用2019年1月阿利芬亚奇省地区综合医院的夹层记录,共为103例例例。最近的民意调查显示,中风在63(61.2%)的男性中更为常见,而在51-65年的年龄增长中,发病率为54(52.4%)。大多数中风类型的病人是在59(57.3%)的cases中患血性中风的。最常见的胆固醇水平为46 (44.7%)cases。病人的大部分仍然在49(47.6%)的cases中表现出正常的高密度脂蛋白水平。在公寓里,最微小的病人表现出26(25.2%)的低密度脂蛋白。大多数病人在65(63.1%)的cases中仍然表现出正常的三甘油水平。有17(16.5%)的病人患有诵读困难,其中9人被认为患有缺血性中风(52.9%)。这项研究的结果是经常发生缺血性中风的并发症与血液病发作有关。致命一击,中风,非血性中风
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