THE DISEASES OF THE DIGESTIVE SYSTEM AMONG COMCOMINANT PATHOLOGY OF THE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Abstract

The article presents the results of examination of 121 patients with chronic obstructive pulmonary disease (COPD) in the period of exacerbation for the period 2018 - 2020. Among those surveyed, men were dominated by 74.4% (90) versus 25.6% (31) women. The study group included patients with COPD of all severity: mild (stage I) - 6% (7/121), moderate (stage II) - 56% (68/121), severe (stage III) - 26% (32/121) and very severe (stage IV) - 12% (14/121) of persons. The average duration of the disease was 8.00 ± 1.1 years. Analyzing the obtained data, it was found that the number of comorbidities in patients with COPD ranged from 0 to 6. 92.6% (112/121) had comorbidities, of which: 30.6% (37/121) of patients had one comorbidity, two or more comorbid conditions were found in 22.3% (27/121), in 23.1% (28/121) three pathologies were observed and in 16.6% (20/121) of the examined four or more concomitant diseases. The data on the gender distribution of concomitant pathology in patients with COPD are interesting. It should be noted that a significantly higher frequency of background pathology occurred in men - 97.8% (88/90) against 77.4% (24/31) of women (p <0.05). In the study of concomitant pathology in patients with COPD, it was found that the most common were diseases of the cardiovascular system. The vast majority of patients suffered from angina pectoris, hypertension, and heart failure I-II FC. The second most common comorbidities were diseases of the gastrointestinal tract, namely: dyspepsia, chronic gastritis, GERD, peptic ulcer of the stomach and duodenum, dyskinesia of the biliary tract, chronic cholecystitis, hepatic steatosis, chronic hepatitis B and C, liver cirrhosis. Diabetes mellitus is registered in the third place. Focusing on the pathology of the digestive system found that 42% (47/112) of patients had concomitant gastrointestinal pathology. Among them, 34.8% (23/112) of patients had stage II COPD, stage III and IV had 16.7% (18/112) and 5.3% (6/112) of the subjects, respectively. Among the lesions of the digestive system, functional dyspepsia (FD) and chronic gastritis (CHG) were the most common. Therefore, concomitant gastropathies are a common comorbid pathology in patients with COPD, as they are registered more often than in every fourth patient.