Penelitian ini menggunakan metode penelitian kasus kontrol. Sampel didapatkan dari pasien Poliklinik Saraf Rumah Sakit Bethesda, Yogyakarta. Data yang diperoleh kemudian dianalisis univariat, dilanjutkan analisis bivariat dengan uji chi-square, dan multivariat dengan uji regresi logistik.

Hasil penelitian yang telah dilakukan adalah riwayat penggunaan kontrasepsi hormonal (OR: 0,275, 95%CI: 0,343-1,358, p: 0,275) tidak berhubungan secara signifikan dengan kejadian stroke iskemik.

Kesimpulan: penggunaan kontrasepsi hormonal bukan merupakan faktor risiko terjadinya stroke iskemik. Adanya faktor risiko lain seperti hipertensi, diabetes melitus, dan dislipidemia diduga menjadi faktor risiko independen terjadinya stroke iskemik. 

 

Kata kunci: stroke iskemik, kontrasepsi hormonal

 

Abstract

Stroke is one of the leading causes of death and disability in the world. Stroke is divided into 2 by it’s pathophysiologic, ischemic stroke and hemorrhagic stroke. Risk factors for stroke can be divided into two, modifiable risk factors and non-modifiable factors. One of the non-modifiable factors is the use of hormonal contraception. Previous studies showed that the relationship between the use of hormonal contraception and ischemic stroke are conclusive.

This study uses a case-control study. Samples were obtained from patients in the nerve clinic at Bethesda Hospital Yogyakarta. The data was analyzed using  univariate and bivariate analysis followed by chi-squa­­re test, and multivariate logistic regression.

The results of the research that has been done a history of hormonal contraception use (OR: 0.275, 95% CI: 0.343 to 1.358, p: 0.275) were not significantly associated with the incidence of ischemic stroke.

The use of hormonal contraception is not a risk factor for ischemic stroke. The presence of other risk factor­s such as hypertension, diabetes mellitus, and dyslipidemia is thought to be an independent risk factor for ischemic stroke.

 

Key word: ischemic stroke, hormonal contraception

 

(Bernadet Dhanni Wulandari Sarwono dkk., Medika 2015, Tahun ke XLI, No. 8, p. 454–457)

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