id
PENGARUHPREMEDIKASI ANESTESIMENGGUNAKAN
METHYLPREDNISOLONE 2 MG/ KG BERAT BADAN
TERHADAP KADAR LEUKOTRIEN C4 SERUM
SEBAGAI INDIKATOR INFLAMASI
TESIS
Oleh
Budi Wahono
S501002004
PROGRAM PASCASARJANA
UNIVERSITAS SEBELAS MARET
SURAKARTA
commit to user
2014
i
perpustakaan.uns.ac.id digilib.uns.ac.id
KATA PENGANTAR
Segala puji syukur kehadirat Tuhan Yang Maha Esa atas petunjuk dan
persyaratan untuk mencapai gelar magister, maka pada kesempatan ini penulis
Sebelas Maret.
Keluarga.
ii
perpustakaan.uns.ac.id digilib.uns.ac.id
5. Prof. Dr. Harsono Salimo, dr, Sp.A (K) selaku pembimbing metodologis
6. Sugeng Budi Santosa, dr, SpAn. KMN selaku Kepala SMF Ilmu Anestesi
7. Mulyo Hadi Sudjito dr, SpAn KNA selaku Ketua Program Studi
9. Semua pihak yang telah membantu dalam penyusunan Tesis ini yang tidak
Penulis menyadari bahwa penelitian ini masih banyak kekurangan, untuk itu kritik
Surakarta, 22 April2014
Budi Wahono
commit to user
iii
perpustakaan.uns.ac.id digilib.uns.ac.id
commit to user
iv
perpustakaan.uns.ac.id digilib.uns.ac.id
commit to user
v
perpustakaan.uns.ac.id digilib.uns.ac.id
commit to user
vi
perpustakaan.uns.ac.id digilib.uns.ac.id
DAFTAR ISI
vii
BAB I. PENDAHULUAN
A. Kajian Teori.................................................................................................... 5
vii
perpustakaan.uns.ac.id digilib.uns.ac.id
6 Methylprednisolon ........................................................................................... 21
c Farmakokinetik............................................................ .................... 23
D Hipotesis ........................................................................................................ 27
B Populasi.............................. ............................................................................. 28
EVariabel Penelitian............................................................................................ 30
viii
perpustakaan.uns.ac.id digilib.uns.ac.id
3. Pembahasan ..................................................................................................... 43
LAMPIRAN ....................................................................................................... 51
commit to user
ix
perpustakaan.uns.ac.id digilib.uns.ac.id
DAFTAR GAMBAR
commit to user
x
perpustakaan.uns.ac.id digilib.uns.ac.id
DAFTAR TABEL
penelitian......................................................................
awal (Pretest)................................................................
Tabel 4.7. Hasil Uji Independen Sample t Test untuk uji Hipotesis 41
(Postest).......................................................................
(Postest)................................................................... 42
commit to user
xi
perpustakaan.uns.ac.id digilib.uns.ac.id
DAFTAR LAMPIRAN
commit to user
xii
perpustakaan.uns.ac.id digilib.uns.ac.id
commit to user
xiii
perpustakaan.uns.ac.id digilib.uns.ac.id
ABSTRACT
By: Budi Wahono; NIM SS501002004
Postgraduate Program; Sebelas Maret University
Inflammation process can result in pain sensation because of tissue
damage. Post-operative pain can be controlled well during or soon after surgery
with local anesthesia, opioid or cyclooxygenase (COX) inhibitor working at
cyclooxygenase (COX) inhibitor path, either COX-1 or COX-2, but the inhibition
in lipoxygenase (LOX) path have not gotten much attention whereas leukotriene
produced in this path contributes significantly to the inflammation process even
the emerging inflammation process is worsened by this leukotriene presence.
Methylprednisolone through its action serves as phospholiphase enzyme A2
inhibitor so that arachidonic acid will not be composed of damaged tissue in turn
resulting in no production of prostaglandin and leukotriene. The objective of
research was to analyze the methylprednisolone administration in reducing
excessive inflammatory reaction by considering the comparison of blood
leukotriene level post-incision between with and without methylprednisolone.
The research method belonged to clinical trial with Randomized
Controlled Trial Double Blind design with the subject of patients undertaking
elective operation consisting of 30 patients divided into control (15 patients) and
treatment (15 patients) groups. The data was collected from the scores of
leukotriene C4 level, firstly, 2 hours pre-incision (baseline) and secondly, 45
minutes post-incision. To examine the different mean leukotriene C4 level pre-
and post-incision, an Independent Sample t-Test was used.
The result of research showed that pre-incision there was no difference of
leukotriene level in the two treatment groups with p value 0.883. Post-incision, in
the group given Aqueducts (water for injection), the leukotriene C4 level was
23.80+6.38 higher than the one received Methylprednisolone 2 mg/kgBW IV of
16.93+5.27, and the leukotriene C4 level values in the two groups were different
significantly with p value = 0.003. Thus, it could be concluded that the
administration of Methylprednisolone 2 mg/kgBW IV pre-incision could inhibit
the raise of leukotriene C4 level post-incision.
commit to user
xiv