Jiang HM, Wang XH, Yang Y, Lu YF. Relationship between hyponatremia and hepatic encephalopathy and renal function in patients with decompensated cirrhosis.
Shijie Huaren Xiaohua Zazhi 2013;
21:3418-3421. [DOI:
10.11569/wcjd.v21.i31.3418]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To explore the relationship between hyponatremia and hepatic encephalopathy and liver and kidney syndrome in patients with decompensated cirrhosis.
METHODS: One hundred and twenty patients with decompensated cirrhosis treated at our hospital were divided into three groups based on the level of serum sodium: mild, moderate and severe hyponatremia groups. Child-Pugh class and MELD score were calculated in all patients. The association of hyponatremia with hepatorenal syndrome and hepatic encephalopathy was analyzed.
RESULTS: Compared to the mild hyponatremia group, Child-Pugh class and MELD score increased significantly in the moderate and severe groups (U = 4.303, 6.317, both P < 0.05); and the increase was more significant in the severe group (U = 2.816, both P < 0.05). The incidences of hepatic encephalopathy and hepatorenal syndrome were significantly lower in the mild group than in the moderate group and the severe group (χ2 = 17.912, 76.305, 6.058, 37.502, all P < 0.05), as well as in the moderate group than in the severe group (χ2 = 26.531, 21.694, both P < 0.05).
CONCLUSION: The levels of serum sodium are closely related to the occurrence of hepatic encephalopathy and renal function in patients with decompensated cirrhosis. Blood sodium level can be used as a parameter for evaluation of the patient's condition and complications.
Collapse