在患有慢性肝病的患者中,酒精使用障碍的管理
Jessica L Mellinger1,2, Anne C Fernandez2, G Scott Winder2,3,4
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Hepatology communications
|June 14, 2023
概括
酒精使用障碍 (AUD) 治疗对于肝脏疾病患者至关重要. 早期发现,诊断和转诊治疗,如心理治疗或互助社团,可以改善结果并降低死亡率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 在美国,酒精使用障碍 (AUD) 和与酒精相关的肝病 (ALD) 的患病率正在增加.
- 对于患有肝脏疾病的患者来说,获得有效的酒精使用治疗仍然是一个重大障碍.
- 治疗AUD对于改善健康结果和降低肝病患者的死亡率至关重要.
研究的目的:
- 概述一种系统的方法来管理肝脏疾病患者的酒精使用障碍.
- 强调将AUD护理纳入肝脏疾病管理的重要性.
- 为突出AUD治疗的各种可用的治疗方案.
主要方法:
- 这项研究回顾了AUD护理的三步过程:检测,诊断和转诊.
- 检测方法包括临床采访,标准化调查和生物标志物.
- 诊断依赖于基于面试的评估,非成临床医生使用调查危险饮酒严重程度.
主要成果:
- 有效的AUD护理包括准确的酒精使用检测和AUD诊断.
- 向正式的AUD治疗指导至关重要,特别是在严重的病例中.
- 有广泛的治疗方式,包括心理治疗,群体治疗,互助社团,住院治疗和药物治疗.
结论:
- 促进成专家和肝脏病学家之间合作的综合护理模式至关重要.
- 及时和适当的AUD治疗显著改善了肝脏疾病患者的结果.
- 解决AUD是一个关键和紧急的策略,以加强对肝脏疾病患者的护理.
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