Gambaran Indeks Eritrosit pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP H. Adam Malik Medan

Yosephin Irene Togatorop, Nindia Sugih Arto
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Abstract

Chronic Kidney Disease (CKD) will cause anemia which can lead to death. CKD patients undergoing hemodialysis therapy can also experience anemia. Therefore, it is necessary to check the erythrocyte index consisting of Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), and Mean Corpuscular Hemoglobin Concentration (MCHC) to determine the type of anemia so that appropriate therapy can be given. Objectives: To determined the description of the erythrocyte index in CKD patients undergoing hemodialysis at H. Adam Malik General Hospital Medan. Methods: This research used the descriptive observational method with a cross-sectional design. The study population was all CKD patients who underwent hemodialysis at the Adam Malik General Hospital Medan period July 2018 until June  2019 according to inclusion and exclusion criteria (total sampling) using medical record data. Results: From 149 study samples, 92 people (61.7%) were male, 57 people were female (38.3%), more in the age range of 55-64 years, hemoglobin (Hb) on average in low grades (98.9% men, 94.7% women), and erythrocyte index (MCV, MCH, MCHC) averages in the normal range. Conclusion: The description of patients with chronic kidney disease undergoing hemodialysis at H. Adam Malik General Hospital in July 2018 - June 2019, in general, is normochromic normocytic anemia.Keywords:  CKD, erythrocyte index, Hb, hemodialysis
亚当·马利克·棉兰慢性肾病患者红细胞压积指数
慢性肾脏疾病(CKD)会导致贫血,从而导致死亡。接受血液透析治疗的CKD患者也会出现贫血。因此,有必要检查红细胞指数,包括平均红细胞体积(Mean Corpuscular Volume, MCV)、平均红细胞血红蛋白(Mean Corpuscular Hemoglobin, MCH)和平均红细胞血红蛋白浓度(Mean Corpuscular Hemoglobin Concentration, MCHC),以确定贫血的类型,以便给予适当的治疗。目的:了解棉兰亚当马利克总医院接受血液透析的CKD患者红细胞指数的描述。方法:采用横断面设计的描述性观察方法。研究人群为2018年7月至2019年6月期间在棉兰亚当马利克综合医院接受血液透析的所有CKD患者,根据纳入和排除标准(总抽样)使用医疗记录数据。结果:149份研究样本中,男性92人(61.7%),女性57人(38.3%),年龄在55-64岁之间居多,血红蛋白(Hb)平均在低等级(男性98.9%,女性94.7%),红细胞指数(MCV, MCH, MCHC)平均在正常范围。结论:2018年7月- 2019年6月在H. Adam Malik总医院进行血液透析的慢性肾脏疾病患者,总体描述为正色正胞性贫血。关键词:慢性肾病,红细胞指数,血红蛋白,血液透析
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