Gambaran Fungsi Ginjal pada Anak Penderita Diare dengan Dehidrasi di RSUP Prof. Dr. R. D. Kandou Manado

Putri F. Ibrahim, Valentine Umboh, J. I. C. Manoppo
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Abstract

Abstract: Diarrhea associated with dehydration can cause decreased tissue perfusion and circulating volume, thus inhibiting kidney function characterized by a decrease in glomerular filtration rate (GFR) and an increase in metabolic waste. This study aimed to determine the description of kidney function in children with diarrhea and dehydration at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective and descriptive study with a cross-sectional design. Samples were children with diarrhea and dehydration hospitalized at Prof. Dr. R. D. Kandou Hospital from July 1, 2020 to June 30, 2023. The results obtained 120 patients predominantly between the ages of 1 month -<1 year (50.0%), male (59.2%), and had mild to moderate dehydration (78.3%). Kidney function features showed normal serum ureum and serum creatinine in most samples by 89% and 91%, respectively, while GFR decreased in less than half of the samples by 49.2%. Increased serum ureum, serum creatinine, and decreased GFR were most common in severely dehydrated children by 69.2%, 73.1%, and 84.6%, respectively. In conclusion, diarrheal children with dehydration had normal serum ureum and serum creatinine levels, and decreased GFR. Increased serum ureum, serum creatinine, and decreased GFR were most common in diarrheal children with severe dehydration. Keywords: diarrhea; dehydration; children; serum ureum; serum creatinine; glomerular filtration rate    Abstrak: Diare yang disertai dehidrasi dapat menyebabkan penurunan perfusi jaringan dan volume sirkulasi sehingga menghambat fungsi ginjal yang ditandai dengan penurunan laju filtrasi glomerulus (LFG) dan peningkatan limbah metabolisme di dalam tubuh. Penelitian ini bertujuan untuk mengetahui gambaran fungsi ginjal pada pasien anak penderita diare dengan dehidrasi di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Sampel penelitian yaitu pasien anak diare dengan dehidrasi yang dirawat inap di RSUP Prof. Dr. R. D. Kandou Manado selama periode 1 Juli 2020–30 Juni 2023. Hasil penelitian mendapatkan 120 pasien anak diare dehidrasi didominasi usia 1 bulan -<1 tahun (50,0%), jenis kelamin laki-laki (59,2%), dan dehidrasi ringan-sedang (78,3%). Gambaran fungsi ginjal pada anak diare dengan dehidrasi memperlihatkan ureum serum dan kreatinin serum normal pada sebagian besar sampel (89% dan 91%), sedangkan LFG menurun pada kurang dari setengah sampel (49,2%). Peningkatan ureum serum, kreatinin serum, serta penurunan LFG paling sering pada anak dengan dehidrasi berat (69,2%, 73,1%, dan 84,6%). Simpulan penelitian ini ialah pada anak diare dengan dehidrasi, kadar ureum serum dan kreatinin serum didapatkan normal, sedangkan LFG menurun. Peningkatan ureum serum, kreatinin serum, dan penurunan LFG pada anak diare dengan dehidrasi paling sering pada derajat dehidrasi berat. Kata kunci: diare; dehidrasi; anak; ureum serum; kreatinin serum; laju filtrasi glomerulus
万鸦老 R. D. Kandou 教授医院腹泻伴脱水儿童的肾功能概述
摘要腹泻伴脱水会导致组织灌注和循环容量减少,从而抑制肾功能,表现为肾小球滤过率(GFR)下降和代谢废物增加。本研究旨在确定万鸦老教授医院(Prof. Dr. R. D. Kandou Hospital Manado)腹泻和脱水患儿的肾功能描述。这是一项横断面设计的回顾性和描述性研究。样本为2020年7月1日至2023年6月30日期间在万鸦老教授医院住院治疗的腹泻和脱水患儿。结果发现,120名患者主要年龄在1个月-<1岁之间(50.0%),男性(59.2%),轻度至中度脱水(78.3%)。肾功能特征显示,大多数样本的血清尿液和血清肌酐正常,分别占 89% 和 91%,而肾小球滤过率下降的样本不到一半,占 49.2%。在严重脱水的儿童中,血清尿液、血清肌酐升高和肾小球滤过率下降最为常见,分别占 69.2%、73.1% 和 84.6%。总之,脱水腹泻患儿的血清尿液和血清肌酐水平正常,但肾小球滤过率下降,严重脱水腹泻患儿的血清尿液、血清肌酐升高和肾小球滤过率下降最为常见。 关键词:腹泻;脱水;儿童;血清尿液;血清肌酐;肾小球滤过率 摘要:腹泻伴脱水可导致组织灌注和循环量减少,从而抑制肾脏功能,其特点是肾小球滤过率(LFG)下降和体内代谢废物增加。本研究旨在确定万鸦老教授医院(Prof. Dr. R. D. Kandou Hospital Manado)腹泻伴脱水儿科患者的肾功能描述。研究类型为横断面设计的描述性回顾研究。研究样本为 2020 年 7 月 1 日至 2023 年 6 月 30 日期间在万鸦老 Prof. Dr. R. D. Kandou 医院住院治疗的脱水腹泻患儿。结果显示,120名脱水腹泻患儿的年龄主要在1个月-1岁之间(50.0%),性别为男性(59.2%),脱水程度为轻度-中度(78.3%)。脱水腹泻患儿的肾功能情况显示,大多数样本(89% 和 91%)的血清尿液和血清肌酐正常,而只有不到一半的样本(49.2%)LFG 下降。在严重脱水的儿童中,血清尿液、血清肌酐升高和 LFG 下降最为常见(分别为 69.2%、73.1% 和 84.6%)。本研究的结论是,在腹泻脱水儿童中,血清尿液和血清肌酐水平正常,而 LFG 下降。腹泻脱水患儿的血清尿液、血清肌酐升高,LFG降低,多见于脱水程度严重的患儿。 关键词:腹泻;脱水;儿童;血清尿液;血清肌酐;肾小球滤过率
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