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"Telah dilakukan penelitian untuk mengetahui bahwa ekstrak etanol rimpang temu mangga Curcuma mangga Val. berpengaruh terhadap kadar bilirubin total dan bilirubin direct akibat kerusakan hati yang diinduksi oleh karbon tetraklorida CCl4 . Hewan uji yang digunakan dalam penelitian yaitu 24 ekor tikus Rattus norvegicus L. jantan galur Sprague-Dawley yang dibagi menjadi enam perlakuan KK1, KK2, KP1, KP2, KP3, dan KP4 dengan empat kali ulangan. Kelompok KK1 merupakan kelompok kontrol normal yang tidak diinjeksikan CCl4 dan dicekok CMC 0.5 , KK2 merupakan kelompok kontrol perlakuan yang diinjeksikan CCl4 sebanyak 1 ml/kgBB secara intraperitoneal dan dicekok CMC 0,5 . Kelompok KP1, KP2, KP3, dan KP4 merupakan kelompok perlakuan yang diinjeksikan CCl4 1 ml/kgBB dan diberikan ekstrak temu mangga dengan dosis berturut-turut 10 mg/kgBB, 20 mg/kgBB, 40 mg/kgBB, dan 80 mg/kgBB. Hasil uji non parametrik Kruskal-Wallis ? = 0,05 menunjukkan bahwa dosis 10 mg/kgBB, 20 mg/kgBB, 40 mg/kgBB, dan 80 mg/kgBB berpengaruh terhadap kadar bilirubin total dan bilirubin direct. Hasil uji perbandingan berganda Dunnett T3 ? = 0,05 menunjukkan bahwa dosis-dosis tersebut tidak berbeda bermakna dengan KK1. Dengan demikian dosis-dosis tersebut memiliki efek kuratif karena dapat menurunkan kadar bilirubin total dan direct sampai mendekati kadar normal.

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This study was conducted in order to observe that the ethanol extract of mango ginger rhizome Curcuma mangga Val. affect the level of total bilirubin and direct bilirubin due to liver damage induced by tetrachloride carbon CCl4 . The test animals in the study were 24 male rats Rattus norvegicus L. of Sprague Dawley strain that was divided into six treatment KK1, KK2, KP1, KP2, KP3 and KP4 and repeated four times. The KK1 group is a normal control group that was not injected with CCl4 and 0.5 CMC fed, KK2 group is a treatment group that was intraperitoneally injected with CCl4 treatment in the amount of 1 ml kgBW and 0.5 CMC fed. KP1, KP2, KP3 and KP4 are treatment groups that got injected with CCl4 1 ml kgBB and were given mango ginger rhizome ethanol extract each with a dose of 10 mg kgBW, 20 mg kgBW, 40 mg kgBW, and 80 mg kgBW respectively by oral. The results of Kruskal Wallis non parametric test 0,05 shows that the dose of 10 mg kgBW, 20 mg kgBW, 40 mg kgBW, and 80 mg kgBW impacted on total bilirubin and direct bilirubin levels. Dunnet rsquo s T3 0,05 multiple comparison test result shows that the dosages had no significant differences with KK1 group. In conclusions, the dosages could be deemed as have curative effects since they successfully reduce the level of total bilirubin and direct bilirubin until it approached normal level."

"ABSTRAKFragmen bilirubin yang tidak terkonjugasi dan tidak terikat albumin (bilirubinbebas) pada neonatus dapat menembus sawar darah otak sehingga terjadikerusakan otak berupa ensefalopati bilirubin akut. Salah satu gejala ensefalopatibilirubin akut adalah tuli sensorineural. Penelitian sebelumnya menunjukkanbahwa bilirubin bebas mempunyai neurotoksisitas lebih besar dibandingkandengan bilirubin total, namun pemeriksaan bilirubin bebas lebih sulit, rumit,mahal dan belum tersedia di klinik; sehingga perlu dicari pemeriksaan lain yanglebih praktis dan aplikatif. Salah satu pilihan untuk menentukan neurotoksisitasbilirubin adalah pengukuran rasio bilirubin total terhadap albumin (BT/A).Penelitian ini merupakan penelitian potong lintang berulang, bersifatobservasional, longitudinal, dan prospektif berupa uji diagnostik untukmengetahui proporsi tuli sensorineural yang diprediksi berdasarkan nilai rasioBT/A tertentu pada neonatus BBLR dengan hiperbilirubinemia. Penelitian inidilakukan dalam periode bulan Agustus 2015 sampai dengan Maret 2016, dengandua tahap pemeriksaan OAE dan BERA. Pemeriksaan pertama sebagai skriningpendengaran dilakukan saat subjek berumur ≥ 7β jam?1 minggu dan pemeriksaankedua/diagnostik pada usia 3?6 bulan.Dari 131 subjek yang dilakukan skrining pendengaran dengan OAE dan BERA,terdapat 70 subjek dengan hasil refer dan 61 dengan hasil pass. Lima puluh satusubjek datang pada pemeriksaan kedua/diagnostik (response rate 38,9%). Hasilpemeriksaan diagnostik adalah 9 subjek tuli sensorineural (6,87%) yang terdiridari 5 subjek tuli sensorineural bilateral, 2 subjek tuli sensorineural unilateral dan2 subjek neuropati auditorik. Rasio BT/A berperan terhadap terjadinya tulisensorineural dengan OR 16, p = 0,003, sensitivitas 89% dan spesifisitas 67%.Pada penelitian ini juga didapatkan angka rujukan bilirubin total dan rasio BT/Ayang dapat menyebabkan tuli sensorineural pada neonatus BBLRhiperbilirubinemia yaitu 12,21 mg/dL dan 0,46.Rasio BT/A dapat digunakan sebagai prediktor tuli sensorineural pada neonatusBBLR dengan hiperbilirubinemia.

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ABSTRACTIn neonates, unconjugated unbound bilirubin (free bilirubin) can penetrate theblood brain barrier, causing brain damage in the form of acute bilirubinencephalopathy as one of the symptoms is sensorineural hearing loss. Previousresearch has demonstrated that free bilirubin neurotoxicity was more sensitivethan total bilirubin, but the free bilirubin test is more difficult, complicated,expensive and not available in the clinic; thus it is necessary to find other testswhich is more practical and applicable. One of the option to determine thebilirubin neurotoxicity is a measurement of the ratio of total bilirubin to albumin(BT/A).This is a repeated cross sectional study done in observational, longitudinal andprospective diagnostic tests to determine the proportion of sensorineural hearingloss predicted based on the value BT/A ratio in low birth weight (LBW) neonateswith hyperbilirubinemia. The study was conducted from August 2015 until March2016, with two-stage examination of the OAE and BERA, i.e. ≥ 7β hours?1 weekand age of 3?6 months respectively.One hundred and thirty one subjects underwent hearing screening, and it revealedthat 70 subjects diagnosed as refer and the rest (61 subjects) was pass. During thesecond examination/diagnostics with response rate at 38.9%, 9 from 51 subjectswere diagnosed as sensorineural hearing loss (6.87%), i.e. five subjects withbilateral sensorineural hearing loss, two subjects with unilateral sensorineuralhearing loss and two subjects with auditory neuropathy. The BT/A ratiocontributes to the occurrence of sensorineural hearing loss with OR 16, p = 0.003,sensitivity 89% and specificity 67%. It also revealed in this study that thereference figure of bilirubin total and BT/A ratio were 12.21 mg/dL and 0.46respectively. Those reference value can be used to predict sensorineural hearingloss in LBW neonatal with hyperbilirubinemia.Ratio of BT/A can be used as a predictor of sensorineural hearing loss in LBWneonates with hyperbilirubinemia."