国内外非酒精性脂肪性肝病诊疗指南的异同及解读

Understanding and explanation on Chinese and overseas guidelines of the diagnosis and treatment in the nonalcoholic fatty liver disease.

为规范非酒精性脂肪性肝病(NAFLD)的诊治与疗效评估,中华医学会肝病学分会脂肪肝和酒精性肝病学组按照循证医学的原则,于2006年5月制定了《非酒精性脂肪性肝病诊疗指南》。与国际上发表的指南或共识相比,较为全面和广泛地反映了目前NAFLD的临床诊疗现状,尽管彼此类似,但在诊治规范上也存在差异,本文就国内外NAFLD诊疗指南的异同进行解读。

Evidence-based guideline of the diagnosis and treatment in the nonalcoholic fatty liver disease was formulated by Chinese Medical Association of fatty liver disease and alcoholic liver disease in order to simplify medical decision making and to help physicians make good decisions about NAFLD, which was published in 2006. Compared with some international guidelines or recommendations, Chinese guideline is more wide and complete for diagnosis and therapy of NAFLD. Meanwhile, there is significant difference in evaluation and treatment between these guidelines.