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非酒精性脂肪性肝病与心血管代谢疾病关系的研究进展

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非酒精性脂肪性肝病(NAFLD)是较常见的慢性肝病,我国NAFLD患病率约为29.2%.大量临床研究表明,NAFLD与肥胖、血脂异常、糖尿病、高血压等心血管代谢疾病关系密切,并且NAFLD是动脉粥样硬化性心血管疾病(ASCVD)的独立危险因素,心血管疾病是NAFLD患者的主要死因.本文对NAFLD及代谢功能障碍相关性脂肪性肝病(MAFLD)与ASCVD及心血管代谢疾病之间的关系进行综述,并探讨了胰岛素抵抗、氧化应激、炎症等相关病理生理机制,以期为降低NAFLD相关的心血管代谢疾病风险提供思路.
Research Advances in the Relationship Between Nonalcoholic Fatty Liver Disease and Cardiovascular-related Metabolic Diseases
Nonalcoholic fatty liver disease (NAFLD) is currently the most common chronic liver disease,with a prevalence of about 29.2% in China.A large number of clinical studies have shown that NAFLD is closely related to cardiovascular-related metabolic diseases such as obesity,dyslipidemia,diabetes mellitus,hypertension,etc.,and NAFLD is an independent risk factor for atherosclerotic cardiovascular disease (ASCVD),and cardiovascular disease is the leading cause of death in patients with NAFLD.This article reviews the relationship between NAFLD and metabolic dysfunction-associated fatty liver disease (MAFLD) with ASCVD and related metabolic diseases,and discusses the related pathophysiological mechanisms such as insulin resistance,oxidative stress,and inflammation,aiming to provide practical recommendations for reducing the risk of NAFLD-associated cardiovascular disease.

non-alcoholic fatty liver diseaseatherosclerotic cardiovascular diseasedyslipidemiadiabeteshypertension

蔡永祥、黄会慧、都欢、周龙、陶剑虹

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电子科技大学医学院,成都 610054

四川省医学科学院 四川省人民医院(电子科技大学附属医院) 心血管病研究所 心血管内科,成都 610072

非酒精性脂肪性肝病 动脉粥样硬化性心血管疾病 血脂异常 糖尿病 高血压

2024

中国循环杂志
中国医学科学院

中国循环杂志

CSTPCD北大核心
影响因子:2.803
ISSN:1000-3614
年,卷(期):2024.39(12)