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非酒精性脂肪性肝病临床管理的研究进展

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非酒精性脂肪性肝病(NAFLD)又称代谢相关脂肪性肝病(MAFLD),是最常见的慢性肝病之一,其特征是肝组织内脂肪沉积和肝细胞损伤。NAFLD患者早期可表现为单纯性脂肪肝或非酒精性脂肪性肝炎(NASH),晚期可进展至肝纤维化、肝硬化、肝衰竭和肝癌。NAFLD已成为最常见的慢性肝病,在全球范围内影响超过30%的人口,对人类健康带来了不可忽视的威胁。然而,目前对NAFLD的研究尚不完善,暂无治疗NAFLD的理想药物,临床管理缺乏统一标准和循证证据,且多发的合并症为NAFLD的临床管理带来了极大的挑战。该文旨在对NAFLD的临床管理研究进展进行综述,包括诊断及非侵入性检查方法、评估及常用工具和治疗方式及优缺点,为NAFLD的临床管理提供参考。
Research progress in clinical management of nonalcoholic fatty liver disease
Nonalcoholic fatty liver disease(NAFLD),also known as metabolic associated fatty liver disease(MAFLD),is one of the most common chronic liver diseases characterized by the fat accumulation in the liver and hepatocellular damage.Patients with NAFLD can manifest as simple fatty liver or non-alcoholic steatohepatitis(NASH)in the early stage,and can progress to hepatic fibrosis,hepatic cirrhosis,hepatic fail-ure,and hepatic carcinoma in the late stage.NAFLD has become the most common chronic liver disease,af-fecting more than 30%of the population worldwide,posing a threat to human health that cannot be ignored.However,the current research on NAFLD is still incomplete,and there is no ideal medication for the treat-ment of NAFLD.The clinical management of NAFLD lacks unified standards and evidence-based evidence,and the multiple comorbidities bring challenges to the clinical management of NAFLD.This article was aimed to review the research progress in the clinical management of NAFLD,including the diagnosis and non-invasive examination methods,evaluation and commonly used tools,treatments methods,advantages and disadvanta-ges,so as to provide a reference for the clinical management of NAFLD.

non-alcoholic fatty liver diseasediagnosisclinical protocolsclinical managementreview

秦亚君、彭海洋、刘彦、龚建平

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重庆医科大学附属第二医院肝胆外科,重庆 400010

非酒精性脂肪性肝病 诊断 临床方案 临床管理 综述

国家自然科学基金项目

82100604

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(5)
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