Comparison and interpretation of Chinese, American, and European guidelines on alcoholic liver diseases
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摘要:
<正>2017年11月至2018年4月期间,美国胃肠病学院(ACG)、中华医学会、欧洲肝病学会(EASL)先后发布了酒精性肝病(ALD)相关指南[1-3]。这些指南分别汇总了对应地区人群的循证医学证据,对ALD的流行病学、诊断及治疗等问题进行了阐述并给出相应的推荐意见。笔者对比分析3个指南的相关内容,旨在明确目前国内外ALD的研究现状,并为国内肝病专业人员提供诊疗参考。1关于ALD的命名最新的EASL指南对ALD命名进行了修订,将ALD命名
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Key words:
- liver diseases, alcoholic /
- China /
- United States /
- Europe /
- practice guideline
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[1]SINGAL AK, BATALLER R, AHN J, et al.ACG clinical guideline:Alcoholic liver disease[J].Am J Gastroenterol, 2018, 113 (2) :175-194. [2]European Association for the Study of the Liver.EASL clinical practice guidelines:Management of alcohol-related liver disease[J].J Hepatol, 2018.[Epub ahead of print] [3]National Workshop on Fatty Liver and Alcoholic Liver Disease, Chinese Society of Hepatology, Chinese Medical Association;Fatty Liver Expert Committee, Chinese Medical Doctor Association.Guidelines of prevention and treatment for alcoholic liver disease:A 2018 update[J].J Clin Hepatol, 2018, 34 (5) :939-946. (in Chinese) 中华医学会肝病学分会脂肪肝和酒精性肝病学组, 中国医师协会脂肪性肝病专家委员会.酒精性肝病防治指南 (2018年更新版) [J].临床肝胆病杂志, 2018, 34 (5) :939-946. [4]MENDIS S, DAVIS S, NORRVING B.Organizational update:The world health organization global status report on noncommunicable diseases 2014;one more landmark step in the combat against stroke and vascular disease[J].Stroke, 2015, 46 (5) :e121-e122. [5]WOOD AM, KAPTOGE S, BUTTERWORTH AS, et al.Risk thresholds for alcohol consumption:Combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies[J].Lancet, 2018, 391 (10129) :1513-1523. [6]O'DONNELL A, ANDERSON P, NEWBURY-BIRCH D, et al.The impact of brief alcohol interventions in primary healthcare:A systematic review of reviews[J].Alcohol Alcohol, 2014, 49 (1) :66-78.
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