Presentasi Jurnal Neurologi Fix
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Transcript of Presentasi Jurnal Neurologi Fix
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BAGIAN NEUROLOGI
FAKULTAS KEDOKTERAN
UNIVERSITAS PATTIMURA
JOURNAL REA
APRIL 20
Amanda J. Rumalatu
(2011 83 010)
Pembimbing
DR. dr. Bertha Jean Que, Sp.S, M.Kes
DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAANKLINIK PADA BAGIAN ILMU NEUROLOGI
FAKULTAS KEDOKTERANUNIVERSITAS PATTIMURA
AMBON2016
Inordinat G!"#o$ Variation Po$t$tro% i$A$$o#iatd &it' Poor N"ro!o(i#a!
I)*ro+)nt in Patint$ Wit'o"t ,i$tor- o.
Dia/t$
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INTRODUCTION
Po$t$tro% '-*r(!-#)ia PS, i$ a .r"nt di$#o+)a3orit- o. *atint$ a.tr $tro% on$t4 ,-*r(!-
#o))on!- a$$o#iatd &it' a &or$ n"ro!o(i#a! o"t#/!ood (!"#o$ !+! *o$t$tro% i$ o.tn in a #ondition o. #+ariation d" to $tr$$ r$*on$ or )di#a! intr+ntion
T' ai) o. t'i$ $t"d- &a$ to in+$ti(at t' +ariation
at a#"t *'a$ *o$t$tro%5 and it$ a$$o#iation &it' ni)*ro+)nt4 W '-*ot'$id t'at (!"#o$ +ariation t' )an (!"#o$ +a!" #o"!d in."n# n"ro!o(i#a! i)*a.tr $tro%4
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MATERIAL AND METHODS
T'i$ o/$r+ationa! $t"d- &a$ *art o. a r(i$trd #!na)d 7A/nor)a! (!"#o$ )ta/o!i$) a$$o#iatd &it' a#$tro% in So"t' 8'ina
Tota! 10 ta#'in( 'o$*ita!$ !o#atd in 9 di$$o#iatG"an(don( Pro+in#5 8'ina5 *arti#i*atd in t'i$ $t"d-4 Fr"nti! D#)/r ;15 200
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Inclusion Criterion = A!! ad"!t *atint$ &it' $"$*
a#"t $tro% &it'in >2 ' o. on$t &r #on$#"tiad)ittd to n"ro!o(i#a! &ard$ a##ordin( to t' .o!!oritria= ra*id!- d+!o*in( #!ini#a! $-)*to)$ or $i(n.o#a! di$t"r/an# o. #r/ra! ."n#tion5 !a$tin( at !a$t 29
Excluded Criterion = Patint$ &it' ')orr'a(i# $tr'i$tor- o. t-* 1 or 2 dia/t$ )!!it"$5 or in$tant /
(!"#o$ !+!$ ? 1141 ))o!@L at ad)i$$ion5 and *ati&'o &r "na/! to *r.or) an TTGO d" "n#on$#io"$n$$5 d-$*'a(ia5 $+r )di#a! #o)*!i#atior ot'r "n$ta/! #ondition$ &r #!"dd .ro) t'i$ $t"
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GLUCOMETABOLISM STATES
Nor)a! (!"#o$ to!ran# &a$ dnd a$ FPGC 641 ))o!@L and 2' *o$t*randia! (!"#o$!+! C >4 ))o!@L
I)*aird Fa$tin( G!"#o$ IFG a$ FPG 641 64< ))o!@L and 2' *o$t*randia! (!"#o$!+! C >4 ))o!@L
I)*aird G!"#o$ To!ran# IGT a$ FPG C
>40 ))o!@L and 2' *o$t*randia! (!"#o$!+! >41141 ))o!@L
N&!- dia(no$d t-* 2 dia/t$ )!!it"$ a$FPG ? >40 ))o!@L or 2' *o$t*randia! (!"#o$!+! ? 1141 ))o!@L4
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VARIATION OF GLUCOSE
W $!#td ordina! #"to +a!"$ o. 10H5 2
and ;0H in +ariation o. FPG and 2' *o$t*ra(!"#o$ .or ana!-$i$4
To a+oid t' /ia$ o. /a$!in5 a 20H d#ra$NI,SS $#or .ro) 1 da- to 19 da-$ &a$ "$din n"ro!o(i#a! i)*ro+)nt5 in$tad o. $
+a!" o. NI,SS $#or at 19 da-$4
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STATISTICAL ANALSIS
A!! data &r $*arat!- in*"t /- t&o*r$on$ to n$"r a##"ra#- and
ana!-d &it' SPSS $o.t&ar Windo&$+r$ion 140 SPSS In#45 8'i#a(o5 IL5USA in a /!indd )annr &it'o"t%no&!d( o. t' (ro"* a$$i(n)nt4
Di#'oto)o"$ +aria/!$ &r t$td
"$in( #'i$"ar t$t and #ontin"o"$+aria/!$ "$in( (nra! !inar)od!$ &it' r*atd)a$"r$t&o&a- ANOVA to dt#t an-intr(ro"*4
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RESULTS
A tota! o. ;10 *atint$ &it' a#"t i$#')i#$tro% &r #o!!#td in t' $t"d- *riod5 o
&'o) J9 'ad *r+io"$!- dia(no$d t-* 2dia/t$ )!!it"$
OGTT data at 19 da-$ d" to"n#on$#io"$n$$5 $+r d-$*'a(ia5 o"n$ta/! #ondition$5 !a+in( 216 *atint$
.or t' $t"d- *roto#o! T' )dian a( o. t'$ *atint$ &a$ 6J40 -ar$
T' )dian ti) .ro) #!ini#a! on$t o$-)*to)$ to ad)i$$ion &a$ 2940 1140
940 'o"r$
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GLUCOMETABOLIC STATES
T' (!"#o)ta/o!i# $tat$ dtr)ind "$in( t'$tandardid OGTT 0 )in and 2 ' &r #o)*ar
t'at dtr)ind /- "$in( on!- t' FPG OGTT 0 )da-$ a.tr $tro% on$t4
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GLUCOSE VARIATION
T' )an !+! o. in$tant /!ood (!"#o$
ad)i$$ion or FPG at 1 da- &a$ 'i('r in *atin&it'o"t n"ro!o(i#a! i)*ro+)nt
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DISCUSSION
In t' *r$nt $t"d-5 a 'i(' *r+a!n# o. a/nor)a)ta/o!i$) &a$ .o"nd in a#"t i$#')i# $tro%
&it' *r+io"$!- dia(no$d dia/t$ )!!it"$5 )an-ar
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In addition5 a 'i('r !+! o. in$tant /!ood (!"#o$ at ad)i$$io
*!a$)a (!"#o$ FPG 1 da- a.tr ad)i$$ion #orr!atdn"ro!o(i#a! i)*ro+)nt4
Mor i)*ortant!-5 t' n")/r o. *atint$ &it' no !$$ t'an 20in NI,SS &a$ $i(n#ant!- d#ra$ in *atint (ro"* &it' 'i('+ariation o. it'r FPG or 2' *o$t*randia! (!"#o$5 i)*!-in( t'a+ariation o. (!"#o$ )a- in"n# n"ro!o(i#a! i)*ro+)nt *
8on$i$tnt &it' t'$ $t"di$5 & .o"nd )o$t o. *atint$ 1;*r$ntd a/nor)a! (!"#o$ )ta/o!i$)5 o. &'i#' t' *r+a!dia(no$d dia/t$ )!!it"$ or IGT &a$ ;046H 66@216 or ;1r$*#ti+!-5 indi#atin( t'at a/nor)a! (!"#o$ )ta/o!i$)#o))on in $tro% *atint
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OGTT 'a$ /n *ro+n a )or $n$iti+ and r!ia/!
to dt#t PS, #o)*ard &it' FPG t$t a!on 25222$t"d-5 t' *r+a!n# o. (!"#o)ta/o!i# a/nor)a!iti/- FPG t$t &a$ on!- 1>41H ;>@216 'o&+r5 t*r+a!n# &a$ 62H 1;9@216 /- OGTT
O"r $t"d- a!$o .o"nd t'at a 'i('r !+! o. in$t
(!"#o$ at ad)i$$ion or FPG at 1 da- &a$ a$$o#&or$ n"ro!o(i#a! i)*ro+)nt at 19 da-$ a.tr $tin *atint$ &it'o"t 'i$tor- o. dia/t$5 indi#atin( /n#ia! #t .ro) #ontro! o. '-*r(!-#)ia at a$ta(4 T' o*ti)a! tar(t !+! o. (!"#o$ #ontro! did
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CONCLUSION
O"r data $'o&d t'at i)*aird (!"#o$ )ta)"#' #o))on in a#"t $tro% *atint$ &it'o"t
o. dia/t$ )!!it"$5 )an- o. &'i#' ar on!- r+*r.or)in( OGTT at ar!- $ta(4
T' $t"d- i)*!i$ t'at inordinat +ariation o. (!"ta% ad+r$ #t$ on n"ro!o(i#a! i)**o$t$tro%5 (i+in( +idn# t'at t' "#t"ation o
!+!$ in $tro% *atint$ $'o"!d / ta%#on$idration d"rin( (!"#o$ )od"!ation4
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TERIMA !ASIH