Evaluarea stării de sănătate a pacienților cu hepatopatii cronice cu ajutorul indicatorilor fiziologici

Abstract

Chronic hepatopathies present one of the important medical issues in Moldova having leading place in terms of incidence and severity. The aim: to study physiological indices in patients with chronic hepatopathies. There were examined 59 patients: 34 – with chronic HBV infection (HBV gr.), 25 – with associated metabolic steatosis liver disease (MASLD gr.), 26 apparently healthy people entered the control group (CG). The indices of systolic (APs) and diastolic (APd) arterial pressure, pulse rate (RPs) and Kerdo Vegetative Index (KVI) were evaluated. The APs average values in the MASLD gr. were 131.96 ±2.42 mm Hg, in the HBV gr.: 129.12 ± 2.37, in CG: 116.92 ± 1.44 mm Hg. RPs in the MASLD gr. was 81.7 ± 1.7, in the HBV gr. – 74.2 ± 1.3 and in CG 74.3 ±0.9 beats/min. The HBV gr. was found vagotonic by KVI, the CG -normotonic and the MASLD gr. – normotonic with transition to sympathicotonia. The highest average values of the APs, RPs were determined in patients with MASLD; patients with HBV were predominately vagotonic, patients with MASLD had the tendency towards sympathicotonia; APs, RPs and KVI can be used as additional non-invasive diagnostic tools in chronic hepatopathies.