Clinical aspects of chronic gastritis in patients with concomitant arterial hypertension
DOI:
https://doi.org/10.15587/2313-8416.2015.51950Keywords:
chronic gastritis, arterial hypertension, comorbidity, asthenoneurotic, pain, dyspeptic, syndrome, symptom complex, combined pathology, HelicobacterpyloriAbstract
Aim: The work deals with special features of chronic gastritis clinical course with comorbid arterial hypertension.
Methods: 96 patients underwent complex examination: 62 patients with combined clinical course of arterial hypertension and chronic gastritis and 34 ones with isolated chronic gastritis. All patients underwent clinical, laboratory and instrumental examination.
Result: At analysis of results it was established that in the 1 group of patients took place the more heavy clinical course and the main complaints were presented as pain syndrome (of an acute, nagging character especially in epigastric zone or without strict localization that took place after ingestion), dyspeptic syndrome (with predominant meteorism, spreading feeling in epigastrium and eructation) and asthenoneurotic syndrome (with sleep disorders, general weakness and work disability) as opposed to patients of the 11 group whose pain syndrome was predominantly stable or periodic of an acute character in epigastric zone. Among complaints that are specific for dyspeptic syndrome prevailed eructation, spreading feeling in epigastrium and nausea. At the same time the chronic gastritis duration and pain syndrome intensity correlated with helicobacterial infection and comorbidity.
Conclusions: Combined pathology is characterized with more intense clinical symptomatology as a direct consequence of mutual influence of diseases. The researches aimed at the study of clinical features of comorbid states allow the grounded approach to its therapy with special attention to all aspects of interaction
References
Kolomojec', M. Ju., Vashhenjak, O. O. (2012). Komorbidnist' i polimorbidnist' u terapevtychnij praktyci. Ukrainskyj medychnyj Chasopys, 5 (91), 134–143.
Orlovs'kyj, V. F., Zharkova, A. V., Orlovs'kyj, O. V. (2012). Osoblyvosti perebigu ishemichnoi' hvoroby sercja, asocijovanoi' z kysloto zalezhnymy zahvorjuvannjamy shlunkovo-kyshkovogo traktu. Visnyk SumDU. Serija «Medycyna», 2, 86–91.
Korulja, I. A., Maruhno, I. S., Gerasymenko, O. M. (2014). Diagnoz «hronichnyj gastryt». Problemni pytannja. Suchasni pidhody do diagnostyky ta likuvannja. Suchasna gastroenterologija, 2 (76), 133–138.
Kopacova, M., Koupil, I., Seifert, B. et. al. (2014). Blood pressure and stature in Helicobacter pylori positive and negative persons. Word Journal of Gastroenterology, 20 (19), 5625–5631. doi: 10.3748/wjg.v20.i19.5625
Kanevs'ka, L. V., Trefanenko, I. V., Rusnak-Kaushans'ka, O. V. et. al. (2014). Osoblyvosti komorbidnogo perebigu ishemichnoi' hvoroby sercja na tli kysloto zalezhnyh zahvorjuvan' shlunkovo-kyshkovogo traktu. Visnyk problem biologii' i medycyny, 1 (3), 144–147.
Kearney, P., Whelton, M., Reynolds, K., Muntner, P., Whelton, P., He, J. (2005). Global Burden of Hypertension: Analysis of World wide Data. Lancet, 365 (9455), 217–223. doi: 10.1016/s0140-6736(05)70151-3
Grishhenko, E. B. (2011). Hronicheskie gastrity v klinicheskoj praktike vracha-gastroenterologa. Consiliummedicum, 13 (8), 8–12.
Banić, M., Franceschi, F., Babić, Z., Gasbarrini, A. (2012). Extragastric Manifestation of Helicobacter pylori infection. Helicobacter, 17, 49–55. doi: 10.1111/j.1523-5378.2012.00983.x
Huhlina, O. S., Virsta, S. V., Trefanenko, I. V. (2011). Osoblyvosti kliniky ta spil'ni lanky patogenezu ishemichnoi' hvoroby sercja ta gastroezofageal'no refleksnoi' hvoroby (ogljad literatury). Klinichna ta eksperymental'na patologija, X (2), 151–153.
Pro zatverdzhennja protokoliv nadannja medychnoi' dopomogy za special'nisju «Gastroenterologija» (2015). Nakaz MOZ Ukrai'ny vid 13.06.2005, 271.
Pro zatverdzhennja protokoliv nadannja medychnoi' dopomogy za special'nisju «Kardiologija» (2006). Nakaz MOZ Ukrai'ny vid 03.07.2006, 436.
Pro zatverdzhennja ta vprovadzhennja medyko-tehnologichnyh dokumentiv zi standartyzacii' medychnoi' dopomogy pry arterial'nij gipertenzii' (2012). Nakaz MOZ Ukrai'ny vid 24.05.2012, 384.
Sergijenko, O. I., Bezsonova, O. V. (2012). Pokaznyky jakosti zhyttja u hvoryh na hronichnyj gastryt ta funkcional'nu dyspepsiju v dynamici likuvannja infekcii' Helicobacterpylori. Suchasna gastroenterologija, 2, 84–88.
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