ASSESSMENT OF THE DYNAMICS OF HEPATIC ENCEPHALOPATHY IN PATIENTS WITH CIRRHOSIS BEFORE AND AFTER TREATMENT IN STATIONARY

Abstract

Nowadays the problem of liver cirrhosis (LC) is one of the urgent problems not only of modern hepatology, but also of the whole internal medicine. The urgency of this problem consists in its prevalence among relatively young, able-bodied persons, the possibility of a number of formidable complications, frequent disability and relatively high mortality rate. [8,11]. Relatively frequent complications of liver cirrhosis in the development of liver failure are neuropsychiatric disorders, referred to as hepatic encephalopathy (HE).For early diagnosis of HE, psychometric tests are widely used in clinical practice: number-letter, number-letter-line, handwriting, arithmetic etc. The sensitivity of psychometric tests in detecting HE is 70-80%. Despite the less severe form, patients with minimal hepatic encephalopathy are at significant risk for impaired quality of life, including increased hospitalization and progression to manifest HE. The main objective of our study, is to compare and evaluate the degree and dynamics of HE in patients with cirrhosis before and after ongoing inpatient treatment.