实用肝脏病杂志 ›› 2014, Vol. 17 ›› Issue (1): 89-91.doi: 10.3969/j.issn.1672-5069.2014.01.029

• 综述 • 上一篇    下一篇

酒精性肝病治疗进展*

徐亮综述, 宓余强审校   

  1. 300192 天津市第二人民医院天津市肝病医学研究所/中西医结合二科
  • 收稿日期:2013-10-17 出版日期:2014-02-28 发布日期:2016-04-11
  • 通讯作者: 宓余强,E-mail:yuqiangmi68@163.com
  • 作者简介:徐亮,男,33岁,医学硕士,主治医师。主要从事脂肪性肝病和病毒性肝病的临床与基础研究。E-mail:xuyangliang2004@sina.com
  • 基金资助:
    天津市卫生局科技处基金(编号:09KZ10/12KG119)

Progress in treatment of alcoholic liver disease

Xu Liang, Mi Yuqiang   

  1. Institute of Liver Diseases,Second People’s Hospital,Tianjing 300192
  • Received:2013-10-17 Online:2014-02-28 Published:2016-04-11

摘要: 酒精性肝病是影响人们健康的常见肝病之一。积极预防、合理治疗可以有效地控制病情进展。过量酒精摄入是导致人体疾患的主要原因,重症酒精性肝病的治疗为该病治疗的重点和热点。Child-Pugh分级、Maddrey判别函数、MELD模型、GAHS评分、年龄-胆红素-INR-肌酐(ABIC)评分及Lille评分可较好地预测预后,评判疗效。肝移植仍为终末期酒精性肝病的主要治疗手段。

关键词: 酒精性肝病, 肝功能评价模型, 糖皮质激素, 治疗

Abstract: Alcoholic liver disease(ALD) is one of the most common liver diseases. The treatment of severe alcoholic hepatitis(SAH)and the control of alcohol abuse are the hot spots in this field. Child-Pugh class,Maddrey discriminate function,the model of end-stage liver disease(MELD),Glasgow alcoholic hepatitis score,age/bilirubin/INR/creatinine(ABIC)score,and Lille score systems can be used to predict the prognosis of patients with SAH. Liver transplantation is still the major treatment for patients with ALD at end-stage illness.

Key words: Alcoholic liver disease, Independent predictor, Glucocorticoids, Therapy