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酒精使用障碍与肝病双重病理学的综合多学科护理模式。

Integrated Multidisciplinary Care Model to Manage the Dual Pathology of Alcohol Use Disorder and of Liver Disease.

机构信息

University of Louisville, 505 South Hancock Street, Louisville, KY 40202, USA.

University of Louisville, 505 South Hancock Street, Louisville, KY 40202, USA.

出版信息

Clin Liver Dis. 2024 Nov;28(4):793-807. doi: 10.1016/j.cld.2024.06.013. Epub 2024 Aug 1.

DOI:10.1016/j.cld.2024.06.013
PMID:39362722
Abstract

Alcohol-associated liver disease (ALD) is the most common cause of liver disease and an indication for liver transplantation. Identification of ALD at an earlier stage and treatment of concomitant alcohol use disorder (AUD) could potentially prevent or delay the progression to advanced stages of ALD like alcohol-associated cirrhosis and alcohol-associated hepatitis. However, screening for alcohol use is often not performed and treatment of AUD is rarely administered in ALD patients, due to several barriers at the level of patients, clinicians, and administrative levels.

摘要

酒精相关性肝病(ALD)是最常见的肝病病因,也是肝移植的指征。在疾病早期识别 ALD,并治疗同时存在的酒精使用障碍(AUD),可能预防或延缓 ALD 进展至晚期阶段,如酒精相关性肝硬化和酒精相关性肝炎。然而,由于患者、临床医生和行政层面存在多种障碍,酒精使用的筛查往往未被执行,ALD 患者的 AUD 治疗也很少被实施。

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Alcohol Clin Exp Res (Hoboken). 2025 Apr;49(4):893-910. doi: 10.1111/acer.70018. Epub 2025 Mar 10.