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[非酒精性脂肪性肝病和脂肪性肝炎的预后与治疗]

[Prognosis and treatment of non-alcoholic fatty liver disease and steatohepatitis].

作者信息

Heebøll Sara, Kazankov Konstantin, Poulsen Marianne Kjær, Vilstrup Hendrik, Grønbæk Henning

机构信息

Medicinsk Afdeling V, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C, Denmark.

出版信息

Ugeskr Laeger. 2012 Feb 20;174(8):488-90.

Abstract

Non-alcoholic fatty liver disease (NAFLD) and steatohepatitis (NASH) are among the most common liver diseases. NAFLD with pure steatosis is considered benign. NASH, however, may progress to liver cirrhosis with risk of liver cancer. Therefore, it is important to search for treatment modalities for NASH. Because obesity and insulin resistance are risk factors for NASH, weight loss and exercise are considered mandatory, although limited data are in support. Presently, we focus on the prognosis of NAFLD and NASH and on pharmaceutical treatment, especially in the form of vitamin E and pioglitazone.

摘要

非酒精性脂肪性肝病(NAFLD)和脂肪性肝炎(NASH)是最常见的肝脏疾病。单纯性脂肪肝的NAFLD被认为是良性的。然而,NASH可能会进展为肝硬化并有患肝癌的风险。因此,寻找NASH的治疗方法很重要。由于肥胖和胰岛素抵抗是NASH的危险因素,尽管支持数据有限,但减肥和运动被认为是必要的。目前,我们关注NAFLD和NASH的预后以及药物治疗,特别是维生素E和吡格列酮形式的治疗。

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