Gambaran Kadar SGOT dan SGPT pada Pasien Pasca Induksi Anestesi Umum: Studi

  • Puput Yunian Universitas Harapan Bangsa
  • Made Suandika Universitas Harapan Bangsa
  • Eza Kemal Firdaus Universitas Harapan Bangsa
Keywords: anestesi umum, pemantauan fungsi hati, SGOT, SGPT

Abstract

Serum Glutamate Oxaloacetate Transaminase (SGOT) dan Serum Glutamate Pyruvate Transaminase (SGPT) adalah enzim yang dihasilkan oleh hati dan berperan penting dalam mendeteksi kerusakan hati. Peningkatan kadar enzim ini dapat menjadi indikasi awal hepatotoksisitas, khususnya setelah penggunaan anestesi umum. Penelitian ini bertujuan untuk menganalisis kadar SGOT dan SGPT pada pasien pasca induksi anestesi umum di RSU Nirmala Purbalingga. Penelitian ini menggunakan desain deskriptif dengan data sekunder yang dikumpulkan melalui checklist. Sampel terdiri dari 60 pasien yang diambil dengan teknik purposive sampling di ruang IBS RSU Nirmala Purbalingga selama periode Juli hingga Agustus 2024. Hasil penelitian menunjukkan mayoritas responden berusia dewasa (61,7%), berjenis kelamin laki-laki (51,7%), dengan nilai SGOT normal (58,3%) dan SGPT normal (63,3%). Persentase jenis operasi antara bedah minor dan mayor sama (50%). Pasien lansia dan yang menjalani operasi mayor lebih berisiko mengalami peningkatan kadar SGOT dan SGPT. Penelitian ini menekankan pentingnya pemantauan fungsi hati pada pasien yang menjalani anestesi umum, terutama pada kelompok usia dan jenis operasi tertentu.

References

C, S. D. (2011). Buku ajar bedah. EGC.

Charni-Natan, M., Aloni-Grinstein, R., Osher, E., & Rotter, V. (2019). Liver and Steroid Hormones—Can a Touch of p53 Make a Difference? Frontiers in Endocrinology, 10(JUN), 374. https://doi.org/10.3389/FENDO.2019.00374

Dinis-Oliveira, R. J. (2018a). Metabolic Profiles of Propofol and Fospropofol: Clinical and Forensic Interpretative Aspects. BioMed Research International, 2018. https://doi.org/10.1155/2018/6852857

Dinis-Oliveira, R. J. (2018b). Metabolic Profiles of Propofol and Fospropofol: Clinical and Forensic Interpretative Aspects. BioMed Research International, 2018. https://doi.org/10.1155/2018/6852857

Farag, M., Veres, G., Szabó, G., Ruhparwar, A., Karck, M., & Arif, R. (2019). Hyperbilirubinaemia after cardiac surgery: the point of no return. ESC Heart Failure, 6(4), 694–700. https://doi.org/10.1002/EHF2.12447

Gomes, T., Juurlink, D. N., Antoniou, T., Mamdani, M. M., Paterson, J. M., & van den Brink, W. (2017). Gabapentin, opioids, and the risk of opioid-related death: A population-based nested case–control study. PLoS Medicine, 14(10). https://doi.org/10.1371/JOURNAL.PMED.1002396

Kapoor, D., Perwaiz, A., Singh, A., Kumar, A. N., & Chaudhary, A. (2023). Factors predicting 30-day mortality after pancreaticoduodenectomy—the impact of elevated aspartate aminotransferase. Langenbeck’s Archives of Surgery, 408(1), 1–10. https://doi.org/10.1007/S00423-023-02865-W/METRICS

Lee, A. S., Persoff, J., & Lange, S. M. (2023). Liver Function Tests. Mayo Clinic Medical Manual, 373–387. https://doi.org/10.1201/b14283-48

Mutia, L., Novitasari, D., Burhan, A., Nursing, A., & Program, S. (2024). The Relationship Between Pre-Anesthesia Anxiety and the Incidence of Post-Operative Nausea and Vomiting (PONV) in Patients Undergoing General. Scholar.Archive.Org, 2(1). https://doi.org/10.61716/jnj.v2i1.37

N. Margarita Rehatta, Elizeus Hanindito, A. R. T. (2019). Anestesiologi dan Terapi Intensif. Gramedia pustaka utama.

Nuryawan, I. (2009). Perbedaan Pengaruh Pemberian Tiopental Danpropofol Terhadap Kadar Serumaminotransferase Pada Induksi Anestesiumumthe Difference Between Effects Of Propofol Andthiopental Administration On Aminotransferaseserum Level In General Anesthesia Induction.

Oh, S. K., Lim, B. G., Kim, Y. S., & Kim, S. S. (2020a).

Comparison of the Postoperative Liver Function Between Total Intravenous Anesthesia and Inhalation Anesthesia in Patients with Preoperatively Elevated Liver Transaminase Levels: A Retrospective Cohort Study

. Therapeutics and Clinical Risk Management, 16, 223–232. https://doi.org/10.2147/TCRM.S248441

Oh, S. K., Lim, B. G., Kim, Y. S., & Kim, S. S. (2020b). Comparison of the postoperative liver function between total intravenous anesthesia and inhalation anesthesia in patients with preoperatively elevated liver transaminase levels: A retrospective cohort study. Therapeutics and Clinical Risk Management, 16, 223–232. https://doi.org/10.2147/TCRM.S248441

Patricia A. Potter, A. G. (2015). Buku Ajar Fundamental Keperawatan (7th ed.). EGC.

Sjamsuhidajat, R. W. K. (2016). Buku Ajar Ilmu Bedah Sjamsuhidajat-de jong (3rd ed.). EGC.

Susa, S. T., Hussain, A., & Preuss, C. V. (2023). Drug Metabolism. Pharmacognosy: Fundamentals, Applications, and Strategies, Second Edition, 597–624. https://doi.org/10.1016/B978-0-443-18657-8.00029-3

Van Limmen, J., Wyffels, P., Berrevoet, F., Vanlander, A., Coeman, L., Wouters, P., De Hert, S., & De Baerdemaeker, L. (2020). Effects of propofol and sevoflurane on hepatic blood flow: A randomized controlled trial. BMC Anesthesiology, 20(1), 1–11. https://doi.org/10.1186/S12871-020-01150-3/TABLES/4

Published
2025-02-15
How to Cite
Yunian, P., Suandika, M., & Firdaus, E. K. (2025). Gambaran Kadar SGOT dan SGPT pada Pasien Pasca Induksi Anestesi Umum: Studi. Jurnal Penelitian Perawat Profesional, 7(1), 609-616. https://doi.org/10.37287/jppp.v7i1.4732

Most read articles by the same author(s)