Cover Murni Bru
Cover Murni Bru
Oleh:
DWI PRIANTO
1107101010136
LEMBAR PENGESAHAN
PREVALENSI GASTROESOPHAGEAL REFLUX DISEASE (GERD) PADA PASIEN
ASMA DI POLI PARU RUMAH SAKIT UMUM ZAINOEL ABIDIN BANDA ACEH
PERIODE SEPTEMBER-OKTOBER 2014
PROPOSAL PENELITIAN
Diajukan untuk melengkapi tugas-tugas dan memenuhi syarat-syarat guna memperoleh gelar
Sarjana Kedokteran
Oleh :
DWI PRIANTO
NIM 1107101010136
Mahasiswa Program Studi Pendidikan Dokter
Fakultas Kedokteran Universitas Syiah Kuala
Banda Aceh , 23 Juni 2014
Dosen Pembimbing I,
Mengetahui :
Dekan Fakultas Kedokteran Unsyiah,
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KATA PENGANTAR
Alhamdulillah, segala puji bagi Allah SWT karena berkat rahmat dan hidayah-Nya penulis dapat
menyelesaikan penulisan proposal yang berjudul PREVALENSI GASTROESOPHAGEAL REFLUX
DISEASE PADA PASIEN ASMA DI POLI PARU RUMAH SAKIT UMUM ZAINOEL ABIDIN BANDA
ACEH PERIODE SEPTEMBER-OKTOBER 2014
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kedokteran dan berguna bagi para pembaca dalam mempelajari dan mengembangkan ilmu
kedokteran. Semoga Allah SWT selalu memberikan rahmat dan hidayah-Nya kepada kita semua,
Amin.
Dwi Prianto
DAFTAR ISI
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Halaman
HALAMAN JUDUL ..........................................................................................................i
LEMBAR PENGESAHAN...............................................................................................ii
KATA PENGANTAR.......................................................................................................iii
DAFTAR ISI.......................................................................................................................v
DAFTAR GAMBAR........................................................................................................vii
DAFTAR TABEL............................................................................................................viii
DAFTAR SINGKATAN...................................................................................................ix
DAFTAR LAMPIRAN......................................................................................................x
BAB
I
PENDAHULUAN
1.1 Latar belakang .............................................................................................1
1.2 Rumusan masalah........................................................................................3
1.3 Tujuan penelitian .........................................................................................3
1.4 Manfaat Penelitian ......................................................................................4
1.4.1 Manfaat Praktis...................................................................................4
1.4.2 Manfaat teoritis...................................................................................4
BAB
II TINJAUAN PUSTAKA
2.1 Anatomi dan fisiologi paru...........................................................................5
2.2 Definisi Asma bronkial ...............................................................................9
2.3 Klasifikasi Asma .......................................................................................10
2.4 Patogenesis Asma ......................................................................................12
2.5 Manifestasi Klinis Asma ...........................................................................14
2.6 Faktor pencetus asma ................................................................................15
2.7 Pemeriksaan Asma ....................................................................................17
2.7.1 Pemeriksaan Fisik.............................................................................17
2.7.2 Pemeriksaan Penunjang....................................................................17
2.8 Gatroesophageal Reflux Disease...............................................................18
2.8.1 Anatomi dan fisiologi esofagus.........................................................18
2.8.2 Definisi GERD ................................................................................19
2.8.3 Patogenesis GERD...........................................................................19
2.8.4 Manifestasi GERD ..........................................................................20
2.8.5 Diagnosa GERD...............................................................................21
2.9 GERD pada pasien Asma bronkial ...........................................................24
2.10 Kerangka Teori...........................................................................................26
BAB
DAFTAR GAMBAR
vi
Halaman
Gambar 2.1 Gambar anatomi sistem pernapasan...........................................................6
Gambar 2.2. Gambar Spirogram normal........................................................................9
Gambar 2.3 Gambar mekanisme asma bronkial..........................................................13
Gambar 2.4 Gambar kerangka teoritis.........................................................................26
Gambar 3.1 Alur penelitian..........................................................................................31
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DAFTAR TABEL
halaman
Tabel 2.1 Klasifikasi derajat asma berdasarkan gambaran klinis .....................................11
Tabel 2.2 Faktor risiko pada asma.....................................................................................16
Table 2.3 Klasifikasi Los Angeles.....................................................................................22
DAFTAR SINGKATAN
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1. APC
= Antigen Presenting Cells
2. APE
= Arus Puncak Ekspirasi
3. CO2
= Karbondioksida
4. ERV
= Ekspiratory Reserve Volume
5. FEV1
= Forced Eksipratory Volume in one second
6. FRC
= Functional Residual Capacity
7. GERD
= Gastroesophageal Reflux Disease
8. GERDQ = Gastroesophageal Reflux Disease Questionnaire
9. IC
= Inspiratory Capacity
10. IgE
= Imunoglobulin E
11. IRV
= Inspiratory Reserve Volume
12. KRF
= Kapasitas Residu Fungsional
13. LES
= Lower spincter Esophageal
14. O2
= Oksigen
15. RISKESDAS = Riset Kesehatan Dasar
16. RSUDZA = Rumah Sakit Umum dr. Zainoel Abidin
17. RV
= Residual Volume
18. TLC
= Total Lung Capacity
19. WHO
= World Health Organization
DAFTAR LAMPIRAN
Halaman
Lampiran 1 Informed Consent.............................................................................................. 38
Lampiran 2 Persetujuan Menjadi Responden Penelitian...................................................... 39
Lampiran 3 Kuisioner GERDQ (Gastroesophageal reflux Disease Questionnaire).............40
Lampiran 4 Jadwal Pelaksanaan Kegiatan Penelitian............................................................41
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