HIV感染者非酒精性脂肪性肝病的临床研究进展
DOI: 10.3969/j.issn.1001-5256.2023.06.030
Research advances in nonalcoholic fatty liver disease in individuals with HIV infection
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摘要:
非酒精性脂肪性肝病(NAFLD)在全球总人口中的患病率呈现逐步增加趋势,由NAFLD导致的肝脏恶性肿瘤的发病率也不断上升。肥胖是NAFLD发生的独立危险因素。在体质量正常的HIV感染者中,25%患有NAFLD,消瘦型NAFLD在HIV感染者中较为常见。本文在查阅国内外文献的基础上,对HIV感染者NAFLD的流行病学、病理生理学、组织学、诊断、筛查、干预措施、治疗及临床管理进行概述,以期提高公众、临床医师及相关管理机构对HIV感染者NAFLD的认识。
Abstract:The prevalence rate of nonalcoholic fatty liver disease (NAFLD) tends to increase in the general population around the world, and the incidence rate of liver malignancies caused by NAFLD is also increasing continuously. Obesity is an independent risk factor for NAFLD. Among the individuals with HIV infection who have a normal body weight, 25% have NAFLD, and lean NAFLD is relatively common in individuals with HIV infection. With reference to related articles in China and globally, this article reviews the epidemiology, pathophysiology, histology, diagnosis, screening, intervention, treatment, and clinical management of NAFLD, in order to improve the awareness of NAFLD in individuals with HIV infection among the public, clinicians, and related institutions.
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Key words:
- HIV /
- Non-alcoholic Fatty Liver Disease /
- Clinical Studies
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