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丁型肝炎患者的临床管理OA

Clinical management of patients with hepatitis D

中文摘要英文摘要

丁型肝炎病毒(HDV)作为一种缺陷病毒,需依赖乙型肝炎病毒(HBV)的包膜蛋白完成复制与传播.慢性乙型肝炎患者合并HDV感染后可导致肝脏疾病进展速度显著加快,肝硬化、肝细胞癌发生风险较单纯慢性乙型肝炎患者高出数倍,给患者生命健康带来严重威胁.当前HDV筛查覆盖率有待提升,部分HBV/HDV合并感染者未被及时发现.因此,强化临床医师对HDV的认识,扩大HDV筛查范围,及早识别感染病例并给予规范抗病毒治疗及长期随访管理,对改善患者预后、减轻疾病负担、提高患者生活质量以及实现全球"2030年消除病毒性肝炎公共卫生危害"目标具有重要意义.

Hepatitis D virus(HDV),as a defective virus,relies on the envelope protein of hepatitis B virus(HBV)to complete replication and transmission.Chronic hepatitis B(CHB)patients comorbid with HDV infection may experience significant acceleration of liver disease progression and a significantly higher risk of serious complications such as liver cirrhosis and hepatocellular carcinoma(HCC)compared with the patients with CHB alone,which poses a serious threat to the life and health of patients.At present,the coverage rate of HDV screening needs to be improved,and some patients with HBV/HDV co-infection have not been found in time.Therefore,strengthening the understanding of HDV among clinicians,expanding the scope of HDV screening,identifying patients with infection in a timely manner,and performing standardized antiviral therapy and long-term follow-up management are of great significance for improving the prognosis of patients,reducing disease burden,improving the quality of life of patients,and achieving the global goal of"eliminating viral hepatitis as a public health threat by 2030".

吴旭;窦婧;郭峰;胡西百合提;王晓忠

新疆医科大学第四临床医学院,乌鲁木齐 830099新疆医科大学附属中医医院肝病科,乌鲁木齐 830099新疆医科大学附属中医医院肝病科,乌鲁木齐 830099新疆医科大学附属中医医院肝病科,乌鲁木齐 830099新疆医科大学附属中医医院肝病科,乌鲁木齐 830099

丁型肝炎普查诊断治疗学临床管理

Hepatitis DMass ScreeningDiagnosisTherapeuticsClinical Governance

《临床肝胆病杂志》 2026 (2)

272-277,6

新疆维吾尔自治区"天山英才"医药卫生高层次人才培养计划(TSYC202401B161) Xinjiang Uygur Autonomous Region"Tianshan Elite"High-level Medical and Health Personnel Training Program(TSYC202401B161)

10.12449/JCH260204

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