2021年肝硬化:全球疾病负担研究
Hong Duo1, Jian You1, Siqi Du1
1National Quality Control Center for Donated Organ Procurement, Hubei Key Laboratory of Medical Technology on Transplantation, Hubei Clinical Research Center for Natural Polymer Biological Liver, Hubei Engineering Center of Natural Polymer-Based Medical Materials, Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Wuhan, Hubei, China.
非酒精性脂肪性肝病 (NAFLD) 和与酒精有关的肝硬化在全球范围内不断增加,尽管乙型肝炎和C型肝炎的发病率有所下降,但其发病率仍在上升.针对性的干预措施对于管理这种日益增长的肝病负担至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 肝硬化是一种严重的,进展性肝病,导致衰竭和死亡.
- 它是由各种慢性肝损伤造成的,包括纤维化和结节形成.
研究的目的:
- 分析1990-2021年肝硬化病的全球和中国特异性趋势.
- 研究NAFLD,HBV,HCV和酒精等原因对肝硬化负担的影响.
主要方法:
- 利用全球疾病负担 (GBD) 数据库进行统计分析.
- 检查了肝硬化病的发病率,流行率,死亡率和DALYs.
- 专注于不同病因因素的趋势.
主要成果:
- 全球肝硬化发病率从36.9上升到58.4百万 (1990-2021),主要是由NAFLD推动的.
- 纳氏血性肥胖症的病例从2480万增加到4830万;酒精性肝硬化病例的死亡也增加了.
- 在中国,NAFLD是主要的原因,酒精和衰老是重大挑战.
结论:
- 增加的NAFLD和与酒精有关的肝硬化阻碍了对HBV和HCV的进展.
- 有针对性的战略是必不可少的,特别是在低中等SDI地区,死亡率高.
- 中国需要早期的NAFLD干预和持续的HBV/HCV控制,以减轻肝硬化负担.
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