脂肪性肝病诊疗规范化的专家建议（2019年修订版）

doi:10.3760/cma.j.issn.1007-3418.2019.10.005

摘要/Abstract

摘要： 非酒精性脂肪性肝病（NAFLD）已成为我国最常见的慢性肝病。本建议从以下5个方面对NAFLD的规范化诊断和治疗进行了修订：（1）诊治中心/专病门诊的组织架构及功能;（2）筛查和评估：包括筛查对象、初步评估、病因筛查、非酒精性脂肪性肝炎（NASH）和进展性肝纤维化的无创诊断、肝活组织病理学检查以及代谢紊乱和心血管风险评估等;（3）临床处理：包括生活方式（饮食运动减重）调整,合并糖脂代谢紊乱、高血压等特殊人群的处理以及脂肪性肝炎和肝纤维化的药物选择;（4）特殊人群的管理：儿童、妊娠和哺乳期妇女、合并酒精性肝病、慢性HBV和/或HCV感染以及合并自身免疫现象等;（5）监测与随访。本建议旨在优化NAFLD患者的管理流程,指导临床医生制定更为合理的诊疗决策。

关键词: 脂肪肝, 代谢综合征, 酒精中毒, 诊断, 治疗, 共识

Key words: Fatty liver, Metabolic syndrome, Alcoholism, Diagnosis, Therapy, Consensus

中国研究型医院学会肝病专业委员会, 中国医师协会脂肪性肝病专家委员会. 脂肪性肝病诊疗规范化的专家建议（2019年修订版）[J]. 实用肝脏病杂志, 2019, 22(6): 787-792.

National Workshop on Fatty Liver, Alcoholic Liver Disease, Chinese Society of Hepatology; National Workshop on Liver, Metabolism, Chinese Society of Endocrinology, Chinese Medical Association. Committee of Hepatology, Chinese Research Hospital Association; Fatty Liver Expert Committee, Chinese Medical Doctor Association[J]. Journal of Practical Hepatology, 2019, 22(6): 787-792.

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