Faktor Risiko Sleep Disordered Breathing Pada Pasien Diabetes Mellitus

Risk Factors of Sleep Disordered Breathing in Diabetes Mellitus Patient

Authors

  • Dimas Adi Patria -, Indonesia
  • Rery Budiarti Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokkan-Kepala Leher Fakultas Kedokteran Universitas Diponegoro/ Rumah Sakit Umum Pusat Dokter Kariadi Semarang, Indonesia, Indonesia
  • Dian Ayu Ruspita Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokkan-Kepala Leher Fakultas Kedokteran Universitas Diponegoro/ Rumah Sakit Umum Pusat Dokter Kariadi Semarang, Indonesia, Indonesia
  • Kanti Yunika Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokkan-Kepala Leher Fakultas Kedokteran Universitas Diponegoro/ Rumah Sakit Umum Pusat Dokter Kariadi Semarang, Indonesia, Indonesia
  • Tania Tedjo Minuljo Program Studi Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Diponegoro/ Rumah Sakit Umum Pusat Dokter Kariadi Semarang, Indonesia, Indonesia
  • Farokah Farokah Program Studi Ilmu Kesehatan Telinga Hidung Tenggorokkan-Kepala Leher Fakultas Kedokteran Universitas Diponegoro/ Rumah Sakit Umum Pusat Dokter Kariadi Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v9i3.824

Keywords:

SDB, DM, faktor risiko, hipertrofi tonsil, makroglosia

Abstract

LATAR BELAKANG : Sleep Disordered Breathing(SDB) memiliki hubungan dua arah dengan sindrom metabolik seperti Diabetes Mellitus (DM) dan hipertensi, komponen sindrom metabolik meningkatkan risiko terjadinya SDB. IMT >30 kg/m2, aktivitas fisik, lingkar leher >40 cm dan hipertensi berisiko tinggi terhadap kejadian SDB. SDB telah terbukti meningkatkan risiko dan keparahan DM, sehingga penanganan SDB dibutuhkan untuk tindakan preventif  DM.

TUJUAN : Mengetahui bahwa obesitas, lingkar leher besar, hipertrofi konka inferior, deviasi septum hidung, hipertrofi tonsila palatina, makroglosia, obstruksi saluran nafas atas dan hipertensi merupakan faktor resiko yang mempengaruhi kejadian SDB pada penderita DM.

METODE : Penelitian observasional analitik dengan desain cross sectional melibatkan subyek sebanyak 57 penderita DM rawat jalan di Poli Penyakit Dalam RSUP Kariadi Semarang yang memenuhi kriteria inklusi pada bulan Januari 2022 - Maret 2022. Data diperoleh dari rekam medik, kuesioner ESS, pemeriksaan fisik THT dan pemeriksaan Laryngoscopy Flexible. Analisis menggunakan uji chi-square dan uji regresi multivariat.

HASIL : Rerata usia 51.87 tahun, dengan SD 9.094, termuda usia 27 tahun, tertua usia  63 tahun. Laki-laki sebanyak 28(49.1%) dan perempuan 29 (50.9%). Obesitas (p= 0,036), lingkar leher besar(p=0.017), hipertrofi konka inferior(p=0,020), makroglossia(p=0,012), hipertrofi tonsila palatina(p=0,017), hipertensi (p=0,001), dan obstruksi saluran nafas atas(p=0,020) merupakan faktor risiko SDB pada penderita DM. Analisis regresi multivariat didapatkan obesitas (p=0,043 RP=13,387.CI 95%:1,083-165,475)dan hipertropi tonsil palatina(p=0,019 RP=9,703.CI 95%=1,446-65,121) merupakan faktor risiko yang paling dominan.

SIMPULAN : Obesitas, lingkar leher besar, hipertrofi konka inferior, makroglossia, hipertrofi tonsila palatina, hipertensi, dan obstruksi saluran nafas atas merupakan faktor resiko SDB pada penderita DM. Obesitas dan hipertropi tonsil palatina merupakan faktor risiko yang paling dominan

KATA KUNCI: SDB, DM, faktor risiko, hipertrofi tonsil, makroglosia

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Additional Files

Published

2022-11-30

How to Cite

1.
Patria DA, Budiarti R, Ayu Ruspita D, Yunika K, Tedjo Minuljo T, Farokah F. Faktor Risiko Sleep Disordered Breathing Pada Pasien Diabetes Mellitus : Risk Factors of Sleep Disordered Breathing in Diabetes Mellitus Patient. Medica Hospitalia J. Clin. Med. [Internet]. 2022 Nov. 30 [cited 2024 Dec. 3];9(3):340-5. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/824

Issue

Vol. 9 No. 3 (2022): Med Hosp; Nov 2022

Section

Original Article

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