TY - JOUR T1 - Kronik hepatitli ve karaciğer sirozlu hastaların biyoelektrik impedans yöntemi ile değerlendirilmesi TT - Evaluation of chronic hepatitis and cirrhotic patients with bioelectrical impedance analysis AU - Taşkıran, Hüseyin AU - Nar, Haşim AU - Kırhan, İdris AU - Uyanıkoğlu, Ahmet AU - Yenice, Necati PY - 2018 DA - December DO - 10.17941/agd.498555 JF - Akademik Gastroenteroloji Dergisi PB - Türk Gastroenteroloji Vakfı WT - DergiPark SN - 1303-6629 SP - 137 EP - 141 VL - 17 IS - 3 LA - tr AB - Giriş ve Amaç: Bu çalışmada, kronik hepatitli,sirozlu ve sağlıklı bireyler arasında biyoelektriksel impedans analiz yöntemiile fark olup olmadığının araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya Haziran 2012-2013 tarihleri arasında Harran Üniversitesi Tıp Fakültesi, Gastroenterolojipolikliniğinde takip edilen 31 kronik hepatit B ve kronik hepatit C hastası, 35karaciğer sirozu ve 38 sağlıklı erişkin alındı. Olgular kronik hepatit,karaciğer sirozu ve sağlıklı kontrol olarak üç gruba ayrıldı. Olguların yaş,cinsiyet, boy, kilo, hematokrit, sodyum, potasyum değerleri ve biyoelektrikselimpedans analiz ölçümü sonrası elde edilen değerler kaydedildi ve istatistikselanaliz yapıldı. Bulgular: Siroz grubunun hematokrit vesodyum değeri anlamlı olarak düşüktü (p <0.05). Vücut kapasitans değerikronik hepatitli grupta ve siroz grubunda kontrol grubuna göre yüksekti (p <0.05).Kronik hepatitli grupta rezistans kontrol grubuna göre düşüktü (p <0.05).Vücut hücre kitlesi kronik hepatitli grupta kontrol grubuna göre yüksekti (p <0.05).Kronik hepatitli grupta bazal metabolik hız kontrol grubuna göre yüksekti (p <0.05).Kronik hepatitli grubun yağsız vücut kitlesi kontrol grubuna göre yüksekti (p <0.05).Kronik hepatitli grubun intrasellüler sıvı ve total vücut suyu kontrol grubuna göreyüksekti (p <0.05). Faz açısı kronik hepatitli grupta diğer gruplara göreyüksek olsa da istatistiksel olarak anlamlı değildi (p >0.05). Sonuç: Biyoelektrikselimpedans analiz ile sirotik grupta, kontrol ve kronik hepatitli gruplakarşılaştırıldığında anlamlı bir değişiklik saptanmamasına rağmen kronikhepatitli grupta saptanan değişiklikler biyoelektriksel impedans analiz açısındanilerisi için ümit vericidir. KW - Kronik hepatit KW - biyoelektrik impedans KW - karaciğer biyopsisi N2 - Background and Aims: The aim of this studywas to investigate whether there was a difference between chronic hepatitispatients, cirrhotic patients, and healthy individuals with bioelectricalimpedance analysis method. Materials andMethods: Between June 2012 and June 2013, 31 chronic hepatitis B and Cpatients, 35 cirrhotic patients who had been followed up in the Gastroenterologyoutpatient clinic at Harran University Faculty of Medicine and 38 healthyindividuals were included in the study. Cases were divided into three groups aschronic hepatitis, liver cirrhosis, and healthy controls. Each patient’s age,sex, height, weight, hematocrit, sodium, potassium values, and values obtainedafter bioelectrical impedance analysis measurements were recorded and a statisticalanalysis was performed. Results: Thecirrhotic group’s hematocrit and blood sodium level were significantly lower (p < .05). The body capacitance valuein the chronic hepatitis and cirrhosis group was higher than that in thecontrol group (p < .05).Resistance in the chronic hepatitis B group was lower than that in the controlgroup (p < .05). The body cellmass value in the chronic hepatitis group was higher than that in the controlgroup (p < .05). The chronichepatitis group’s basal metabolic rate value was higher than that of thecontrol group (p < .05). The chronichepatitis group’s lean body mass value was higher than that of the controlgroup (p < .05). The chronichepatitis group’s intracellular water and total body water values were higherthan both of these were in the control group (p < .05). The phase angle was higher in the chronic hepatitisgroup when compared with other groups, but was not statistically significant (p > .05). Conclusion: Although this study did not find significant changesbetween cirrhotic patients, chronic hepatitis patients, and control groups withbioelectrical impedance analysis, detecting any changes in patients withchronic hepatitis is promising for the future regarding bioelectrical impedanceanalysis. CR - 1. Harrison’s Principles of Internal Medicine 16th Edition 2005;1858-9. CR - 2. Memik F, Dolar E. Karaciğer sirozu. Tabak F, editör. Klinik Gastroenteroloji. I. Baskı, İstanbul; Nobel ve Güneş Tıp Kitapevleri. 2005;626-33. CR - 3. Tabak F, Yurdaydın C, Kaymakoğlu S, et al; Guidelines Study Group VH. 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