HUBUNGAN TEKANAN DARAH (SISTOLIK DAN DIASTOLIK) DENGAN KADAR TROMBOSIT PADA IBU PREEKLAMPSIA BERAT

MOHAMMAD IKRAM BAHARI, dr.M.Nurhadi Rahman, Sp.OG; dr.H.Risanto Siswosudarmo, Sp.OG(K)

2015 | Skripsi | S1 PENDIDIKAN DOKTER

LATAR BELAKANG: Preeklampsia merupakan komplikasi pada kehamilan ibu yang sering dialami. Preeklampsia bisa menyebabkan kematian pada ibu. Kematiannya bisa disebabkan karena rendahnya kadar trombosit. Kadar trombositnya rendah bisa disebabkan karena hipertensinya. Penelitian mengenai preeklampsia sudah banyak dilakukan, namun penelitian mengenai hubungan hipertensi (sistolik dan diastolic) terhadap penurunan kadar trombosit belum pernah dilakukan. TUJUAN: Mengetahui adanya hubungan hipertensi (sistolik dan diastolik) dengan rendahnya kadar trombosit. METODE: Penelitian dilakukan dengan metode cross sectional terhadap kadar trombosit dan hipertensi (sistolik dan diastolik) pada minimal sampel 30 pasien preeclampsia berat. Analisis hasil menggunakan uji regresi linear. Data diambil dari rekam medis RSUP DR SARDJITO pada tahun 2013. Hasil: Uji regresi linear didapatkan bahwa hubungan kenaikan tekanan darah (sistolik) dengan penurunan kadar trombosit didapatkan Adjusted R Square 0,012 yang maksudnya hanya memprediksi 1,2% dan uji anova didapatkan p=0,78. Untuk hubungan tekanan darah diastolik dengan kadar trombosit didapatkan Adjusted R Square 0,011 yang maksudnya hanya memprediksi 1,1% dan uji anova didapatkan p=0,65.Kesimpulan: Tidak terdapat Hubungan kenaikan tekanan darah (sistolik dan diastolik) dengan penurunan kadar trombosit ibu dengan preeklampsia berat.

BACKGROUND: Pre-eclampsia is a pregnancy complication that is often experienced in mothers. Preeclampsia can cause death in women. The Death can be caused by low levels of platelets. Low platelet levels can be caused by hypertension. Research on preeclampsia has been done, but research on the relationship of hypertension (systolic and diastolic) against a decrease in platelet levels have not been done. OBJECTIVE: To determine the relationship of hypertension (systolic and diastolic) with low levels of platelets. METHODS: The study was conducted by cross sectional method on platelet levels and hypertension (systolic and diastolic) on a minimum sample of 30 patients with severe preeclampsia. Analysis of the results using linear regression. Data retrieved from medical records RSUP Dr Sardjito in 2013. Results: Linear regression showed that the relationship rise in blood pressure (systolic) with decreased levels of platelets obtained Adjusted R Square of 0.012 which means predicting only 1.2% and ANOVA test was obtained p = 0.78. For relationship with diastolic blood pressure levels of platelets obtained Adjusted R Square of 0.011 which means predicting only 1.1% and ANOVA test was obtained p = 0.65. Conclusion: There is no relationship between increased blood pressure (systolic and diastolic) and decreased platelet levels on mothers with severe preeclampsia.

Kata Kunci : preeklampsia, trombositopenia, hipertensi