越南的MAFLD:一个被忽视的公共卫生挑战,需要紧急的政策行动
Thong Duy Vo1,2, Huong Tu Lam1
1Department of Internal Medicine, School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Vietnam.
Frontiers in clinical diabetes and healthcare
|December 24, 2025
概括
代谢功能障碍相关的脂肪肝病 (MAFLD) 是越来越多的越南的公共卫生问题,影响超过四分之一的城市成年人. 对于早期发现和管理,迫切需要国家战略.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 代谢功能障碍相关的脂肪肝病 (MAFLD) 是越南一个显著且日益严重的公共卫生挑战.
- 肥胖率的上升,2型糖尿病和生活方式的改变是MAFLD的关键驱动因素.
- 在国家卫生战略和非传染性疾病 (NCD) 框架中,MAFLD的认可不足.
研究的目的:
- 审查关于越南MAFLD的流行病学,临床和卫生系统数据.
- 评估国际准则在越南医疗保健环境中的相关性.
- 提出一个国家路线图来解决MAFLD.
主要方法:
- 对2015年至2024年间发表的研究进行叙述性审查.
- 综合流行病学,临床和卫生系统数据.
- 分析国际准则的当地相关性.
主要成果:
- 在越南,MAFLD影响了超过25%的城市成年人,在农村地区的患病率越来越高.
- 障碍包括有限的诊断,缺乏指导方针,临床医生的意识低,以及不充分的护理模式.
- 同时存在的乙型肝炎和心血管并发症会加剧MAFLD的严重程度和进展.
结论:
- 在越南,MAFLD是一个被忽视但迫切需要采取多部门行动的公共卫生问题.
- 建议制定国家路线图,包括NCD政策整合,初级保健查和劳动力培训.
- 加强合作,数字健康和国际伙伴关系对于有效的MAFLD管理至关重要.
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