Perbedaan Kadar Laktat Dehidrogenase (LDH) pada Berbagai Derajat Keparahan Preeklampsia

Authors

  • Tendi Novara Fakultas Kedokteran Universitas Jenderal Soedirman RSUD Prof. Dr. Margono Soekarjo Purwokerto
  • Ika Murti Harini Fakultas Kedokteran Universitas Jenderal Soedirman
  • Sutrisno Sutrisno Fakultas Kedokteran Universitas Jenderal Soedirman RSUD Prof. Dr. Margono Soekarjo Purwokerto

DOI:

https://doi.org/10.21776/ub.jkb.2019.030.04.7

Keywords:

Derajat keparahan preeklampsia, laktat dehidrogenase, normotensi, preeklampsia berat (PEB), preeklampsia ringan (PER)

Abstract


Preeklampsia adalah penyakit kehamilan akibat disfungsi plasenta serta merupakan penyebab kesakitan dan kematian maternal maupun perinatal di Indonesia. Laktat dehidrogenase (LDH) adalah enzim intraseluler yang dapat menandai adanya jejas pada sel dan jaringan. Penelitian ini bertujuan untuk mengetahui perbedaan kadar LDH pada berbagai derajat keparahan preeklampsia. Penelitian ini menggunakan desain analitik observasional dengan pendekatan kasus kontrol. Subjek dibagi menjadi 3 kelompok yaitu normotensi, preeklampsia ringan (PER) dan preeklampsia berat (PEB). Data dianalisis menggunakan uji Kruskal-Wallis dan Mann Whitney. Hasil penelitian didapatkan perbedaan kadar LDH antara kelompok normotensi dengan PER (p=0,031) dan antara normotensi dengan PEB (p=0,039) dengan kadar LDH pada PEB secara bermakna paling rendah dibandingkan dengan PER dan normotensi.

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Author Biographies

Tendi Novara, Fakultas Kedokteran Universitas Jenderal Soedirman RSUD Prof. Dr. Margono Soekarjo Purwokerto

Departemen Anestesi dan Terapi Intensif

Ika Murti Harini, Fakultas Kedokteran Universitas Jenderal Soedirman

Departemen Histologi

Sutrisno Sutrisno, Fakultas Kedokteran Universitas Jenderal Soedirman RSUD Prof. Dr. Margono Soekarjo Purwokerto

Departemen Obstetri dan Ginekologi

References

Perkumpulan Obstetri dan Ginekologi Indonesia (POGI). Pedoman Nasional Pelayanan Kedokteran: Diagnosis dan Tatalaksana Preeklamsia. Jakarta: POGI; 2016; hal. 1-6.

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2014. Jakarta: Kementerian Kesehatan RI; 2015: hal. 100.

Phipps E, Prasanna D, Brima W, and Jim B. Preeclampsia: Update in Pathogenesis, Definitions, and Guidelines. Clinical Journal of the American Society of Nephrology. 2016; 11(6): 1102-1113.

Valvona CJ, Fillmore HL, Nunn PB, and Pilkington GJ. The Regulation and Function of Lactate Dehydrogenase A: Therapeutic Potential in Brain Tumor. Brain Pathology. 2016; 26(1): 3-17.

Mary VP, Chellatamizh M, and Padmanaban S. Role of Serum LDH in Preeclampsia as a Prognostic Factor – a Cross Sectional Case Control Study in Tertiary Care Hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017; 6(2): 595-598.

Dahlan MS. Besar Sampel dalam Penelitian Kedokteran dan Kesehatan. Edisi 4. Jakarta: Epidemiologi Indonesia; 2016; hal. 187.

Bilano VL, Ota E, Ganchimeg T, Mori R, and Souza JP. Risk Factors of Pre-Eclampsia/Eclampsia and Its Adverse Outcomes in Low- and Middle-Income Countries: A WHO Secondary Analysis. Plos ONE. 2014; 9(3): 1-9.

Luealon P and Phupong V. Risk Factors of Preeclampsia in Thai Women. Journal of the Medical Association of Thailand. 2010; 93(6): 661-666.

Trogstad L, Magnus P, and Stoltenberg C. Pre-Eclampsia: Risk Factors and Causal Models. Best Practice & Research. Clinical Obstetrics and Gynaecology. 2011; 25(3): 329-342.

Sibai B, Dekker G, and Kupferminc M. Pre-eclampsia. Lancet. 2005; 365(9461): 785-799.

Frey HA and Klebanoff MA. The Epidemiology, Etiology, and Costs of Preterm Birth. Seminars in Fetal and Neonatal Medicine. 2016; 21(2): 68-73.

Yildrim G, Güngördük K, Aslan H, Gül A, Bayraktar M, and Ceylan Y. Comparison of Perinatal and Maternal Outcomes of Severe Preeclampsia, Eclampsia and HELPP Syndrome. Journal of the Turkish-German Gynecological Association. 2011; 12(2): 90-96.

Davies EL, Bell JS, and Bhattacharya S. Preeclampsia and Preterm Delivery: A Population-Based Case-Control Study. Hypertension in Pregnancy. 2016; 35(4): 510-519.

Harini IM, Novara T, dan Sutrisno. Perbedaan Kadar Kalsium Darah pada Kehamilan Preeklampsia dengan Kehamilan Normotensi. Jurnal Kedokteran Brawijaya. 2018; 30(2): 109-113.

Morgan TK. Role of the Placenta in Preterm Birth: A Review. American Journal of Perinatology. 2016; 33(3): 258-266.

Ganesh KS, Unnikrishnan B, Nagaraj K, and Jayaram S. Determinants of Pre-eclampsia: A Case-control Study in a District Hospital in South India. Indian Journal of Community Medicine. 2010; 35(4): 502-505.

Saadat M, Nejad SM, Habibi G, and Sheikhvatan M. Maternal and Neonatal Outcomes in Women with Preeclampsia. Taiwanese Journal of Obstetrics & Gynecology. 2007; 46(3): 255-259.

Hernández-Díaz S, Toh S, and Cnattingius S. Risk of Pre-Eclampsia in First and Subsequent Pregnancies: Prospective Cohort Study. British Medical Journal. 2009; 338: 1-5.

Jaiswar SP, Gupta A, Sachan R, Natu SN, and Shaili M. Lactic Dehydrogenase: A Biochemical Marker for Preeclampsia-Eclampsia. Journal of Obstetrics and Gynecology of India. 2011; 61(6): 645-648.

Umasatyasri Y, Vani I, and Shamita P. Role of LDH (Lactate Dehydrogenase) in Preeclampsia-Eclampsia as a Prognostic Marker: An Observational Study. International Archives of Integrated Medicine. 2015; 2(9): 88-93.

Dave A, Maru L, and Jain A. LDH (Lactate Dehydrogenase): A Biochemical Marker for the Prediction of Adverse Outcomes in Pre-eclampsia and Eclampsia. The Journal of Obstetrics and Gynecology of India. 2016; 66(1): 23-29.

Adeva-Andany M, López-Ojén M, Funcasta-Calderón R, et al. Comprehensive Review on Lactate Metabolism in Human Health. Mitochondrion. 2014; 17: 76-100.

Markert CL. Lactate Dehydrogenase. Biochemistry and Function of Lactate Dehydrogenase. Cell Biochemistry & Function. 1984; 2(3): 131-134.

Purnomo M. Asam Laktat dan Aktivitas SOD Eritrosit pada Fase Pemulihan Setelah Latihan Submaksimal. Jurnal Media Ilmu Keolahragaan Indonesia. 2011; 1(2): 155-170.

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Published

2019-08-30

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Section

Research Article

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