DIAGNOSIS OF LIVER ENCEPHALOPATHY IN PATIENTS WITH LIVER CIRRHOSIS
Summary. Aim. Comparison of methods for diagnosis of hepatic encephalopathy in patients with cirrhosis.
Matherials and Methods. We observed 95 patients with LC who were hospitalized from 2018 to 2020 in the Department of Anesthesiology and Intensive Care, Surgical and Gastroenterological Departments of the Transcarpathian Regional Clinical Hospital. Andriy Novak (Uzhhorod). Neurological status, state of mental and cognitive functions in patients with LC were assessed before and after the course of therapy with psychometric testing, as well as electroencephalographic (EEG) study. The severity of LE was determined by West-Haven criteria.
Results. Signs of LE were not diagnosed in 8.4 % of patients with LC. In 13.8 % of patients found a latent form of LE. This was most often observed in the III century. (in 25.2 % of patients), LE II. diagnosed in 22.1 % of patients with LE and Art. — in 17.9 % of examined patients, and in 12.6 % of examined — LE IV. In patients with LC, alpha waves on the EEG are most often registered in the latent form of LE, and with the increase of clinical signs of LE there is a decrease in the frequency of alpha waves, instead of pathological delta and theta waves.
Conclusions. According to the MMSE scale, the highest scores are observed in patients of group I (29.9 ± 3.4). The most pronounced disorders of intelligence were determined in patients with LC of group III from the IV century. LE (15.1 ± 3.3). The level of personal anxiety in patients with LC was higher than normal in patients with LE II-IV centuries. surveyed groups with maximum values in group III (55.5 ± 8.2). At patients with LC the expressed cognitive frustration are observed. Signs of LE were not diagnosed in 8.4 % of patients with LC. In 13.8 % of patients found a latent form of LE. This is most often observed in the III century. (in 25.2 % of patients), LE II. diagnosed in 22.1 % of patients with LE and Art. — in 17.9 % of examined patients, and in 12.6 % of examined — LE IV.
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