Plateletcrit Could Be A Marker of Inflammation in Cesarean Section

Year 2019, Volume: 10 Issue: 1, 66 - 69, 21.03.2019

İbrahim Karagöz Ayhan Ekici

https://doi.org/10.22312/sdusbed.523163

Abstract

Amaç: Hemogram kökenli yeni inflamatuar belirteçlerin;
özellikle nötrofil / lenfosit oranı (NLR), ortalama trombosit hacmi (MPV),
kırmızı hücre dağılım genişliği (RDW), MPV - trombosit oranı (MPR), RDW /
trombosit oranı (RPR) ve trombosit oranı (MPT) preoperatif ve postoperatif
değerlerini genel veya spinal anestezi ile sezaryen yapılan gebelerde
karşılaştırmayı amaçladık.

Materyal-Metod: Çalışmamızda genel ve bölgesel anestezi için herhangi
bir kontrendikasyonu olmayan, tek bir fetüs gebeliği olan, 18-40 yaşları
arasındaki seçmeli sezaryen bölümü olan hastalar çalışmaya alındı. Denekler
rastgele iki gruba ayrıldı. Grup I (n = 30) hastalara genel anestezi, Grup II
(n = 30) hastalara spinal anestezi uygulandı. Preoperatif ve postoperatif
hemogram parametreleri karşılaştırıldı.

Bulgular: Spinal ve genel anestezi gruplarının postoperatif PCT
değerleri sırasıyla% 0.16 (0.05) ve% 0.19 (0.07) idi. Postoperatif PCT'deki
fark istatistiksel olarak anlamlıydı (p = 0.03).

Sonuç: Sezaryen ameliyatı sonrası PCT'nin inflamasyon
belirteci olarak kullanılabileceğini düşünüyoruz. Kontrendike değilse, sezaryen
doğumundaki gebe kadınlar için spinal anestezi tercih edilmelidir.

Keywords

plateletcrit, İnflamasyon, sezaryen cerrahisi

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