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中华消化病与影像杂志(电子版) ›› 2019, Vol. 09 ›› Issue (06) : 244 -247. doi: 10.3877/cma.j.issn.2095-2015.2019.06.002

所属专题: 文献

卫生健康事业发展70年巡礼

我国非酒精性脂肪性肝病的诊疗进展
刘同亭1,()   
  1. 1. 250031 济南,联勤保障部队第九六〇医院
  • 收稿日期:2019-10-04 出版日期:2019-12-01
  • 通信作者: 刘同亭

The new Progress in diagnosis and treatment of on-alcoholic fatty liver disease in China

Tongting Liu1,()   

  1. 1. The 960th Hospital of PLA, Jinan 250031, China
  • Received:2019-10-04 Published:2019-12-01
  • Corresponding author: Tongting Liu
  • About author:
    CCorresponding author: Liu Tongting, Email:
引用本文:

刘同亭. 我国非酒精性脂肪性肝病的诊疗进展[J/OL]. 中华消化病与影像杂志(电子版), 2019, 09(06): 244-247.

Tongting Liu. The new Progress in diagnosis and treatment of on-alcoholic fatty liver disease in China[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2019, 09(06): 244-247.

随着生活条件的不断提高及饮食结构的改变,非酒精性肝病(NAFLD)发病率不断升高,成为一个全球化的问题,在我国也引起了广泛的关注。NAFLD具有早期发病隐匿的特点,目前临床常规诊断需要影像学检查、实验室检查等无创检查手段,以及必要时的病理有创检查,其中病理是诊断NAFLD及病情进展的金标准。NAFLD治疗的首要目标是减肥和改善胰岛素抵抗,预防及治疗2型糖尿病(T2DM)、代谢综合征(MS)及相关的并发症,进而减轻疾病负担、改善患者生活质量并延长寿命,次要目标为减少肝脂肪沉积。改变生活方式是目前推荐的最有效的NAFLD改善方法。肥胖患者减肥是一种必要治疗措施,严重的NAFLD患者可以进行肝移植。

With the continuous improvement of living conditions and the change of diet structure, the incidence of non-alcoholic fatty liver disease(NAFLD)is increasing, which has become a global problem and has attracted wide attention in our country.NAFLD has the characteristics of concealment of early onset.At present, conventional clinical diagnosis requires imaging examination, laboratory examination and other non-invasive methods, as well as pathological invasive examination if necessary, of which pathology is the gold standard for the diagnosis of NAFLD, also the progression of the disease.The primary goal of NAFLD treatments is to lose weight and improve insulin resistance.Also to prevent and treat MetS, type 2 diabetes mellitus(T2DM), metabolic syndrome(METS)and related complications are important.These are aimed to reduce the burden of disease, to improve the quality of life and prolong life.The secondary goal is to reduce liver fat deposition.Lifestyle change is currently recommended as the most effective way to treat NAFLD.Weight loss in obese patients is a necessary treatment.But severe NAFLD patients have to undergo liver transplantation.

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