KHẢO SÁT TỶ LỆ, MỨC ĐỘ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN HẠ NATRI MÁU Ở BỆNH NHÂN XƠ GAN TẠI BỆNH VIỆN ĐA KHOA TỈNH BÌNH THUẬN

Abstract

Background: Hyponatremia is common electrolyte disorder and it is related to some complications of decompensated cirrhosis. Therefore, early prognosis and management of hyponatremia in cirrhosis patients which decrease illness progression and mortality. Objectives: To survey the proportion, severity and some factors related to hyponatremia in cirrhosis patients. Materials and methods: A descriptive cross-sectional study of 96 cirrhosis patients at Binh Thuan Provincial General Hospital from 2024 to 2025. Results: The prevalence of hyponatremia in cirrhosis patients was 43.7%, in which mild hyponatremia group was majority (33.3%). In the logistic regression analysis showed that age ≥60, male, Child-Pugh B+C and ≥2 complications of cirrhosis were independent factors associated with hyponatremia (p<0.05). There was a negative relationship between blood sodium level (mmoL/L) and the number of cirrhosis complications, as well as the Child-Pugh score, with correlation coefficients r=-0.331 (p=0.001) and r=-0.525 (p<0.001), respectively. Conclusions: Hyponatremia was associated with older people, male, Child-Pugh B or C and cirrhosis with complications. Besides, the degree of hyponatremia was increase in the group with a high Child-Pugh score or more complications of cirrhosis.