METHOD FOR PREDICTING FORM AND DEGREE OF PSYCHOLOGICAL STATUS DISORDERS IN PATIENTS AT CHRONIC DISEASES OF DIGESTIVE ORGANS

摘要

FIELD: medicine, gastroenterology.;SUBSTANCE: it is necessary to carry out complex evaluation of clinical values, analyses on dysbacteriosis and coprograms followed by calculating the levels of anxiety, depression, asthenia, somatoautonomic disorders by the following formulas: LAPD=1.13+0.68X₁-0.13X₂+0.53X₃-0.59X₄+0.52X₅+0.16X₆, where LAPD - the level of anxiety-phobic disorders, X₁ - the presence and degree of pains at defecation, and at no pains X₁=1, at moderate pains X₁=2, at pronounced pains X₁=3, at pains stopped due to the intake of medicinal preparations X₁=4; X₂ - the level of Escherichia coli at altered properties in feces expressed in lgCFU/g; X₃ - the quantity of muscular fibers altered in feces and at their absence X₃=0, at value in analysis being ±X₃=0.5, at high values X₃=the quantity of crosses; X₄ - the presence of hypertonicity of large intestine and at no hypertonicity X₄=1, at hypertonicity in area of sigmoid flexure X₄=2, at hypertonicity I area of cecum X₄=3, at hypertonicity at the whole length of large intestine X₄=4; X₅ - the presence and the intensity of stomachaches and at their absence X₅=1, at weak stomachaches X₅=2, at moderate ones X₅=3, at intensive stomachaches X₅=4; X₆ - the level of gold-colored staphylococci in feces expressed in lgCFU/g and at LAPD3.5 one should diagnose high degree of anxiety-phobic disorders, at 3.5≥LAPD≥2.0 - average degree, at LAPD2 - low degree; LDD=2.98-0.79X₁+0.60X₂-0.12X₃-0.57X₄, where LDD - the level of depressive disorders, X₁ - abdominal murmur at stomach palpation and at its absence X₁=1, at abdominal murmur in area of sigmoid flexure X₁=2, that of in area of cecum X₁=3, and at abdominal murmur at the whole its length X₁=4; X₂ - meteorism and at its absence X₂=1, at meteorism at affected nutrition X₂=2, at constant meteorism of moderate degree X₂=3, at constant pronounced meteorism X₂=4, X₃ - the level of Escherichia coli at altered properties in feces expressed in lgCFU/g, X₄ - the quantity of muscular fibers altered in feces and at its absence X₄=0, at values in analysis being ±X₄=0.5, at high values X4=the quantity of crosses and at LDD3.5 one should diagnose high degree of depressive disorders; at3.5≥LDD≥2.0 - average degree, at LDD2 - low degree; LAD=2.78+0.9X₁-0.1X₂, where LAD - the level of asthenic disorders, X₁ - the quantity of muscular fibers altered in feces and at their absence X₁=0, at the value in analysis being ±X₁=0.5, at high values X₁=the quantity of crosses, X₂ - the level of Escherichia coli at altered properties in feces expressed in lgCFU/g and at LAD3.5 one should diagnose high degree of asthenic disorders, at 3.5≥LAD≥2.0 - average degree, at LAD2 - low degree; LSAD=4.29-0.18X₁-0.18X₂+0.32X₃-0.15X₄-0.84X₅-0.95X₆+0.93X₇-0.55X₈+0.83X₉+0.13X₁₀, where LSAD - the level of somato-autonomic disorders, X₁ - the level of lactobacteria in feces expressed in lgCFU/g, X₂ - the level of hemolytic microorganisms in feces expressed in lgCFU/g, X₃ - the level of gold-colored staphylococci in feces expressed in lgCFU/g, X₄ - the level of epidermal saprophyte staphylococci in feces expressed in lgCFU/g, X₅ - the presence of soaps in feces and at their absence X₅=0,, at the value in analysis being ±X₅=0.5, at high values X₅=the quantity of crosses, X₆ - the presence of extracellular starch in feces and at its absence X₆=0, at the value in analysis being ±X₆=0.5, at high values X₆=the quantity of crosses, X₇ - the presence and the intensity of stomachaches and at their absence X₇=1, at weak stomachaches X₇=2, at moderate stomachaches X₇=3, at intensive ones X₇=4, X₈ - abdominal murmur at stomach palpation and at its absence X₈=1, at abdominal murmur in area of sigmoid flexure X₈=2, at murmur in area of cecum X₈=3, at murmur at the whole its length X₈=4, X₉ - the presence of leukocytes in feces and at their absence X₉=0, at their presence X₉=1, X₁₀ - abdominal murmur and at its absence X₁₀=1, at abdominal murmur rarely than once weekly X₁₀=2, at abdominal murmur being 1-3 times weekly X₁₀=3, and at abdominal murmur above 3 times weekly X₁₀=4 and at LSAD3.5 one should diagnose high degree of somato-autonomic disorders, at 3.5≥LSAD≥2.0 one should diagnose average degree, at LSAD2 - low degree. The innovation enables to decrease labor intensity, increase objectivity of evaluation and simplify it for a patient and medicinal staff.;EFFECT: higher accuracy and efficiency of diagnostics.;6 ex