A rational approach to the treatment of hepatic encephalopathy in patients with liver cirrhosis

Abstract

In 125 patients with liver cirrhosis of different etiologies, classes A, B and C according to the Child-Pugh, with minimal hepatic encephalopathy and overt encephalopathy to II grade according to the West Haven criteria, we studied the efficacy of treatment of hepatic encephalopathy drugs of different pharmacological groups. The highest efficiency was found in the treatment with Stimol, treatment with probiotics and treatment included the combination of probiotics with metronidazole. Treatment with these drugs showed improvement in clinical status and in psychometric (cognitive) performance, as well as positive changes in clinical and biochemical parameters of blood. Also, this treatment was associated with the improving the quality of life of patients.

Keywords

• liver cirrhosis
• hepatic encephalopathy
• stimol (citrulline malate)
• metronidazole
• probiotics