中外非酒精性脂肪性肝病诊疗指南解读.PDFVIP

2019年3月第39卷第3期 中国实用内科杂志 235 指南与共识 DOI：10.19538/j.nk2019030108 中外非酒精性脂肪性肝病诊疗指南解读 孙 超，范建高 摘要 ： 随着肥胖和代谢综合征 (MetS) 的流行，非酒精性脂肪性肝病 (NAFLD) 已取代慢性乙型肝炎成为中国第一大 慢性肝病。为了规范 NAFLD 的诊断和治疗，中华医学会脂肪肝和酒精性肝病学组于 2018 年 3 月发布了《非酒精性 脂肪性肝病防治指南》，与近 2 年发布的必威体育精装版版美国、欧洲、亚太 NAFLD 诊疗指南相比，有相似之处，但各国国情不 同诊疗规范有细节差异。本文旨在通过对中外 NAFLD 诊疗指南的解读，帮助临床工作者更全面深刻地理解指南并 用于指导临床工作。 关键词 ： 非酒精性脂肪性肝病 ；指南 中图分类号：R575　文献标识码：A Interpretation of Chinese and foreign guidelines for the diagnosis and management of nonalcoholic fatty liver disease. SUN Chao, FAN Jian-gao. Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China Corresponding author: FAN Jian-gao, E-mail: fattyliver2004@126.com Abstract: With the prevalence of obesity and metabolic syndrome (MetS), nonalcoholic fatty liver disease (NAFLD) instead of chronic hepatitis B has been the most common cause of chronic liver disease in China. In order to standardize the diagnosis and treatment of NAFLD, the Fatty Liver Expert Committee of Chinese Medical Association issued “The guideline of prevention and treatment for nonalcoholic fatty liver disease” in March 2018, which was similar to the latest NAFLD Guidelines published by the AASLD, EASL and Asia-Pacific working party in the recent two years, but was different in details owing to the distinct condition of different countries. The purpose of the article is to help clinicians understand the guidelines more comprehensively and profoundly and guide their clinical work according to the interpretation of Chinese and overseas NAFLD guidelines. Keywords: nonalcoholic fatty liver disease; guideline 非酒精性脂肪性肝病 (NAFLD)是一种多系统 2018年3月发布了必威体育精装版版《非酒精性脂肪性肝病防