Lokal anestezi altında oral ve dental cerrahi operasyon geçiren hastaların preoperatif hemogram ve biyokimya değerleri

Yıl 2020, Cilt: 45 Sayı: 2, 439 - 447, 30.06.2020

Bilal Ege Abdüssamed Geyik Muhammed Yusuf Kurt Mahmut Koparal

https://doi.org/10.17826/cumj.672618

Öz

Amaç: Bu çalışmanın amacı lokal anestezi altında oral cerrahi işlem geçiren hastaların preoperatif hemogram ve biyokimya değerlerinin araştırılmasıdır.
Gereç ve Yöntem: Çalışmaya Adıyaman Üniversitesi Diş Hekimliği Fakültesi’ne başvuran 1598 hasta dahil edildi. Hastalara ait yaş, cinsiyet gibi demografik bilgiler ile kan glukoz seviyesi (KGS), Aspartat Aminotransferaz (AST), Alanin Aminotransferaz (ALT), Gama-Glutamil Transpeptidaz (GGT), sodyum (Na), potasyum (K) ve kalsiyum (Ca) gibi biyokimya değerleri ve beyaz küre sayısı (WBC), Hemoglobin (HGB), Hemotaktit (HCT), Trombosit sayısı (PLT) gibi hemogram değerleri kaydedildi ve istatistiksel olarak analiz edildi.
Bulgular: İncelenen tüm hemogram ve biyokimyasal değerlerin hepsinde normal sınırların dışında seyreden anormal değerler görüldü. Bunlardan KGS, AST, ALT, GGT, WBC değerlerinde yüksek değerler; Na, Ca, HGB, HCT değerlerinde ise düşük değerler sayıca daha fazla bulundu. Referans aralığının dışında ölçülen anormal değerler cinsiyet bakımından değerlendirildiğinde istatistiksel olarak GGT’nin anlamlı şekilde erkeklerde; HGB ve PLT’nin ise anlamlı şekilde kadınlarda daha fazla sayıda görüldüğü bulundu. Anormal değerlerin yaş grupları bakımından ise istatistiksel olarak anlamlı şeklide 21-40 yaş arasında dağılım gösterdiği görüldü.
Sonuç: Detaylı tıbbi anamnez alınamayan hastalarda oral cerrahi işlemler öncesinde hemogram ve biyokimyasal testlerin alınmasının oluşabilecek olumsuz durumların eliminasyonu açısından önem arz ettiğini düşünmekteyiz.

Anahtar Kelimeler

Hemogram, biyokimya, preoperatif tetkik, oral cerrahi

Destekleyen Kurum

Bulunmamaktadır.

Preoperative hemogram and biochemistry values of patients undergoing oral and dental surgical operations under local anesthesia

Öz

Purpose: The purpose of this study is to investigate the preoperative hemogram and biochemistry values of patients who undergo oral and dental surgical operations under local anesthesia.

Materials and Methods: The study included 1598 patients who visited the Faculty of Dentistry at Adıyaman University. The patients’ demographic information as age and sex and biochemistry values as blood glucose level (BGL), Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Gama-Glutamyl Transpeptidase (GGT), sodium (Na), potassium (K) and calcium (Ca) and hemogram values as white blood cell count (WBC), Hemoglobin (HGB), Hematocrit (HCT) and Platelet count (PLT) were recorded and statistically analyzed.

Results: There were abnormal values outside the normal limits in all hemogram and biochemical values that were examined. Among these, high values of BGL, AST, ALT, GGT and WBC and low values of Na, Ca, HGB and HCT were more frequent. When the values measured outside the reference ranges were examined in terms of sex, it was seen that the GGT values were significantly higher in the men, while the HGB and PLT values were significantly higher in the women. The abnormal values were distributed significantly more among the age group of 21-40.

Conclusion: In patients from whom detailed medical anamnesis is not collected, it is believed that taking hemogram and biochemical tests before oral surgical procedures is important in terms of elimination of negative issues that may arise.

Anahtar Kelimeler

Hemogram, biochemistry, preoperative test, oral surgery

Kaynakça

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