ABSTRAK

Ulkus peptikum adalah penyakit yang terjadi karena putusnya kontinuitas mukosa yang meluas sampai di bawah epitel. Ulkus peptikum dapat terletak di setiap bagian saluran cerna yang terkena getah asam lambung, yaitu esofagus, lambung, duodenum, dan jejunum.Peptic ulcer is a disease that occurs due to the rupture of mucosal continuity which extends below the epithelium. Peptic ulcers can be located in any part of the gastrointestinal tract that are exposed to stomach acid resin, the esophagus, stomach, duodenum, and jejunum.

Pada beberapa daerah di Indonesia, menurut profil kesehatan Provinsi Kalimantan Selatan tahun 2006 (PKPKS, 2006), terdapat 9.940 kasus ulkus peptikum. Di Kabupaten Balangan tahun 2009, ulkus peptikum menempati peringkat dua penyakit terbanyak dengan 5.455 kasus (PKKB, 2009) dan peringkat tiga di Kabupaten Tabanan tahun 2006 dengan 12.723 kasus (PKKT, 2006). Sedangkan di Kabupaten Samosir tahun 2008, ulkus peptikum menempati peringkat enam penyakit terbanyak dengan 3.619 kasus (PKKS, 2008).

In several part of Indonesia, according to the health profile of South Borneo Provice year of 2006 (PKPS, 2006), there are 9.940 cases of peptic ulcer. In Balangan regency, year 2009, peptic ulcer occupies number second as the most acquired with 5. 455 cases (PKKB, 2009) in the year of 2006, it achieves number three in Tabanan regency with 12. 723 cases (PKKT, 2006). Meanwhile, in Samosir district in the year of 2008, it occupies sixth places with 3.619 cases (PKKAS, 2008).

Untuk mengetahui gambaran diagnostik dan penatalaksanaan pasien ulkus peptikum rawat inap di RSUD dr. Pirngadi Medan, dilakukan penelitian deskriptif retrospektif dengan desain studi kasus. Populasi seluruh data rekam medik pasien yang di rawat inap di RSUD Dr. Pirngadi Medan tahun 2011 sebanyak 100 data, jumlah sampel adalah seluruh populasi. Analisa dengan deskriptif statistik.

To determine the diagnostic description and treatment of peptic ulcer patients hospitalized in dr. Pirngadi Medan, a retrospective descriptive study was performed along with a case study design. The population of the entire medical record data on patients hospitalized in the Hospital Dr. Pirngadi Medan in 2011 as many as 100 data, the sample is the entire population. Analysis of the descriptive statistics.

Hasil penelitian proporsi tertinggi pasien ulkus peptikum berdasarkan sosiodemografi, usia termuda 18 tahun, tertua 83 tahun, sex ratio 69,5%, distribusi proporsi kelompok umur tertinggi pada kelompok umur 54 – 62 tahun 26%. Keluhan utama nyeri epigastrium 70%, mual dan buang air besar berdarah 10%, keluhan tambahan mual 41,29%, muntah 32,26%, anemia 10,32%, pemeriksaan endoskopi 47,73%, USG 40,91%, biopsi 11,36%. Komplikasi perdarahan 68,57%, stenosis pilorik 20%, perforasi dan keganasan 5,71%. Penggunaan antibiotik sefalosporin 47,7%, siprofloksasin 26,2%, metrodinazol 21,5%. Penggunaan obat simptomatik ranitidine 41,3%, omeprazol dan antasida 17,3%, lama rawatan rata-rata 6 hari, sembuh 11%, CFR 14%.

The results of the study about the highest proportion of peptic ulcer patients by sociodemographic, the youngest 18 years old, the oldest 83 years, sex ratio of 69.5%, the

proportion of the age group distribution of the highest in the age group 54-62 years 26%. The main complaint of epigastric pain 70%, nausea and bloody bowel movements 10%, an additional complaint of nausea 41.29%, 32.26% vomiting, anemia 10.32%, 47.73% endoscopy, ultrasound 40.91%, biopsy 11.36%. 68.57% complication bleeding, pyloric stenosis 20%, 5.71% perforation and malignancy. The use of cephalosporin antibiotics 47.7%, ciprofloxacin 26.2%, 21.5% metrodinazol. The use of symptomatic medication ranitidine 41.3%, 17.3% omeprazole and antacids, long maintainability average of 6 days, cured 11%, 14% CFR

Perlu dilakukan penelitian lebih lanjut untuk mengetahui faktor – faktor yang menyebabkan PAPS maupun meninggal.

There is a need for ongoing research to discover the factors that resulted in early leave of a patients or even death itself.

Kata Kunci : Ulkus Peptikum, Gambaran Diagnostik dan Penatalaksanaan