Influence of drinking on progression of chronic hepatitis B and outcome of antiviral therapy
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摘要: HBV与酒精可以通过多种机制相互影响导致肝损伤。大量饮酒可以使慢性乙型肝炎(CHB)患者的疾病进展更为迅速且预后更差,同时严重影响抗病毒治疗效果和依从性。我国CHB患者饮酒的流行病学情况尚不明确,HBV与酒精的相互影响机制尚需进一步明确。临床上,仍需进一步规范CHB患者的戒酒管理,尽可能减轻酒精导致的肝损伤。Abstract: HBV can interact with alcohol in various ways to cause liver damage. Heavy drinking can accelerate the progression of chronichepatitis B and lead to a poorer prognosis; meanwhile, it can also affect the outcome and compliance in patients receiving antiviral therapy.The epidemiology of drinking in patients with chronic hepatitis B in China remains unclear, and further studies are needed to clarify themechanism of interaction between alcohol and HBV. Drinking management should be strengthened in patients with chronic hepatitis B inclinical practice, in order to alleviate liver injury induced by alcohol.
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