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非酒精性脂肪性肝病:会成为下一场医学海啸吗?

Nonalcoholic Fatty Liver Disease: Could It Be the Next Medical Tsunami?

作者信息

Bhandari Priyanka, Sapra Amit, Ajmeri Mohitkumar S, Albers Christine E, Sapra Devanshika

机构信息

Family Medicine, Southern Illinois University School of Medicine, Springfield, USA.

Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, USA.

出版信息

Cureus. 2022 Apr 4;14(4):e23806. doi: 10.7759/cureus.23806. eCollection 2022 Apr.

DOI:10.7759/cureus.23806
PMID:35518541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9067326/
Abstract

Nonalcoholic fatty liver disease (NAFLD) is a rapidly increasing cause of chronic liver disease with excess fat deposition in the liver, without an identifiable cause. NAFLD's benign form is called nonalcoholic fatty liver (NAFL), which can progress to nonalcoholic steatohepatitis (NASH) with or without fibrosis. Over time, NASH can progress to cirrhosis and eventually hepatocellular carcinoma (HCC) or progress to HCC without cirrhosis. Its incidence and prevalence are increasing to epidemic proportions, making it the most common cause of chronic liver disease in the western world. This review article attempts to understand the epidemiology, pathophysiology, evaluation, and management, and, most importantly, to generate awareness of this disease process.

摘要

非酒精性脂肪性肝病(NAFLD)是慢性肝病的一个迅速增加的病因,其特征为肝脏中脂肪过度沉积且无明确病因。NAFLD的良性形式称为非酒精性脂肪肝(NAFL),可进展为伴有或不伴有纤维化的非酒精性脂肪性肝炎(NASH)。随着时间的推移,NASH可进展为肝硬化并最终发展为肝细胞癌(HCC),或在无肝硬化的情况下发展为HCC。其发病率和患病率正上升至流行程度,使其成为西方世界慢性肝病的最常见病因。这篇综述文章试图了解其流行病学、病理生理学、评估和管理,最重要的是,提高对这一疾病过程的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/e133cdad5d6f/cureus-0014-00000023806-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/20767d15ea77/cureus-0014-00000023806-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/d4dc835ba169/cureus-0014-00000023806-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/e795c88899a7/cureus-0014-00000023806-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/e133cdad5d6f/cureus-0014-00000023806-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/20767d15ea77/cureus-0014-00000023806-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/d4dc835ba169/cureus-0014-00000023806-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/e795c88899a7/cureus-0014-00000023806-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/928c/9067326/e133cdad5d6f/cureus-0014-00000023806-i04.jpg

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The Role of Life Style Modifications in Comprehensive Non-Alcoholic Fatty Liver Disease Treatment.生活方式改变在非酒精性脂肪性肝病综合治疗中的作用
Clin Liver Dis (Hoboken). 2021 Feb 1;17(1):11-14. doi: 10.1002/cld.1007. eCollection 2021 Jan.
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FGF21: An Emerging Therapeutic Target for Non-Alcoholic Steatohepatitis and Related Metabolic Diseases.成纤维细胞生长因子21:非酒精性脂肪性肝炎及相关代谢性疾病的新兴治疗靶点
欧洲 HIV 感染者中 NAFLD 患病率和危险因素的地域差异:一项荟萃分析。
Front Public Health. 2024 Jan 4;11:1295165. doi: 10.3389/fpubh.2023.1295165. eCollection 2023.
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Impact of rumination on sleep quality among patients with non‑alcoholic fatty liver disease: a moderated mediation model of anxiety symptoms and resilience.反刍对非酒精性脂肪性肝病患者睡眠质量的影响:焦虑症状和韧性的中介调节模型。
BMC Psychiatry. 2023 Feb 2;23(1):84. doi: 10.1186/s12888-023-04572-8.
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Irisin Is Related to Non-Alcoholic Fatty Liver Disease (NAFLD).鸢尾素与非酒精性脂肪性肝病(NAFLD)相关。
Biomedicines. 2022 Sep 11;10(9):2253. doi: 10.3390/biomedicines10092253.
Front Endocrinol (Lausanne). 2020 Dec 14;11:601290. doi: 10.3389/fendo.2020.601290. eCollection 2020.
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Evolving Role for Pharmacotherapy in NAFLD/NASH.在非酒精性脂肪性肝病/非酒精性脂肪性肝炎中药物治疗的作用演变。
Clin Transl Sci. 2021 Jan;14(1):11-19. doi: 10.1111/cts.12839. Epub 2020 Aug 25.
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