Lauridsen Mette M, Vilstrup Hendrik
Department of Gastroenterology and Hepatology, Hospital of South West Jutland, Finsensgade 35, 6700 Esbjerg, Denmark.
Department of Hepatology and Gastroenterology, Aarhus University Hospital, Nørrebrogade 44, Aarhus, Denmark.
J Clin Exp Hepatol. 2018 Dec;8(4):438-440. doi: 10.1016/j.jceh.2018.04.010. Epub 2018 May 5.
Professional MHE awareness is high but when it comes to psychometric testing for MHE the real world scenario is characterized by hesitation and testing is offered only to selected cirrhosis patients. The hesitation is rooted in doubts about which tests to use, lack of knowledge about treatment benefits, and uncertainty about the tests' ability to identify patients who will benefit from anti-HE treatment. Thus, the majority of MHE patients do not receive the available efficient anti-HE treatment. This mini-review attempts to quell some of these doubts.
专业人士对轻微肝性脑病(MHE)的认知度很高,但在针对MHE进行心理测量测试时,现实情况是存在犹豫,并且仅对部分肝硬化患者进行测试。这种犹豫源于对使用何种测试的怀疑、对治疗益处缺乏了解以及对测试识别能从抗肝性脑病治疗中获益患者的能力存在不确定性。因此,大多数MHE患者未接受现有的有效抗肝性脑病治疗。本小型综述试图消除其中一些疑虑。