2022年《欧洲肝病学会肝性脑病管理临床实践指南》更新要点及其与我国2018版指南的比较  

Update points for the 2022 edition of the European Association for the Study of Liver Diseases Clinical Practice Guidelines for the Management of Hepatic Encephalopathy and comparison with China’s 2018 edition guidelines

作　　者：张婷玉 孙鑫 姚俞昊 靳茜 甘大楠[1,2] 叶永安[1,2] 李小科[1,2] Zhang Tingyu;Sun Xin;Yao Yuhao;Jin Qian;Gan Danan;Ye Yongan;Li Xiaoke(Department of Gastroenterology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Liver Diseases Academy of TCM,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学中医肝病研究院,北京100700

出　　处：《中华肝脏病杂志》2023年第9期921-927,共7页Chinese Journal of Hepatology

基　　金：国家自然科学基金(82174341);国家中医临床研究基地课题(JDZX2015300)。

摘　　要：2022年欧洲肝病学会发布了《肝性脑病管理临床实践指南》,为肝性脑病的临床诊断、评估、治疗、管理与预防提出推荐意见。与该学会末次发布于2014年的《慢性肝病肝性脑病临床实践指南》及2018年中华医学会肝病学分会《肝硬化肝性脑病诊疗指南》相比,该指南在肝性脑病的术语运用、分级分类、诊断、临床评估与治疗、临床管理与预防等方面有一定区别和更新。现归纳此指南更新亮点及其与我国指南的区别,以期细化理解新版指南对于肝性脑病的临床治疗的指导作用,为规范肝性脑病的临床诊治提供帮助。The European Association for the Study of Liver Diseases issued the"Clinical Practice Guidelines for the Management of Hepatic Encephalopathy"in 2022,which included recommendations for clinical diagnosis,assessment,treatment,management,and prevention.The Society’s"Hepatic Encephalopathy Clinical Practice Guidelines in Chronic Liver Disease,"which was last published in 2014,and the"Guidelines for the Diagnosis and Treatment of Hepatic Encephalopathy in Cirrhosis,"which the Chinese Society of Hepatology,Chinese Medical Association,released in 2018,have certain differences and updates in terms of comparison to terminology,grading and classification,diagnosis,clinical evaluation and treatment,management,and prevention.Herein,the updated points of this guideline and the differences between it and our nation’s guidelines are summarized in order to refine and understand the guiding role of the new version of the guideline for the clinical treatment of hepatic encephalopathy and provide aid for standardizing clinical diagnosis and treatment.

关 键 词：肝性脑病 诊断 治疗学 指南解读 

分 类 号：R575[医药卫生—消化系统]