与代谢功能障碍相关的脂肪肝疾病:当前的治疗策略
Khamis Al Hashmi1, Rosaria Vincenza Giglio2,3, Anca Pantea Stoian4
1Department of Physiology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Frontiers in nutrition
|April 3, 2024
概括
代谢相关脂肪肝疾病 (MAFLD) 现在包括心脏代谢风险因素. 本综述探讨了生活方式的改变和治疗方法,包括营养药和药品,用于管理MAFLD及其相关疾病.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 代谢相关脂肪肝疾病 (MAFLD) 的定义包括心脏代谢标准,取代了非酒精性脂肪肝疾病 (NAFLD).
- MAFLD强调肝硬化,2型糖尿病 (T2DM) 和心血管疾病 (CVD) 之间的双向关系.
研究的目的:
- 审查目前用于MAFLD治疗和预防的治疗策略.
- 探索生活方式修改,营养药和药理学剂在管理MAFLD中的作用.
主要方法:
- 关于MAFLD,T2DM,CVD和相关疗法的文献综述研究.
- 证据分析支持营养药 (例如,西利马林,柏柏林,维生素E) 和药品 (例如,英克雷丁,PCSK9抑制剂).
主要成果:
- 改变生活方式 (营养,身体活动) 是MAFLD治疗的基石.
- 几种营养药对代谢变化和肝硬化有潜在的益处,但需要长期数据.
- 药理疗法,如因克雷丁和PCSK9抑制剂,在预防和减少MAFLD患者心脏代谢风险方面提供了突破性进展.
结论:
- 治疗MAFLD需要采取综合的方法,包括肝脏,新陈代谢和心血管方面.
- 需要进一步的研究来确定各种MAFLD疗法的长期疗效和安全性.
- 综合治疗策略对于有效的MAFLD治疗和预防并发症至关重要.
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