摘要
原发性胆汁性肝硬化(PBC)患者的预后评判以及如何改善预后一直备受关注,预后不佳PBC患者的进一步治疗方案成为临床及科研的研究方向。归纳了PBC患者基线指标与预后的关系及熊去氧胆酸(UDCA)治疗中患者预后的评价,介绍了对UDCA应答不佳患者联合布地耐德、贝特类药物及奥贝胆酸的治疗现状,以及正在研究开发的药物,分析了可能影响预后和UDCA疗效的其他因素。认为PBC患者UDCA治疗前及治疗中需对预后及疗效进行评价,及时调整治疗方案,改善预后。
Prognostic evaluation of patients with primary biliary cirrhosis（ PBC） and how to improve the prognosis have attracted much attention. Further therapeutic regimens for PBC patients with poor prognosis has become the direction of clinical and scientific studies. This article summarizes the association between baseline indices and prognosis and prognostic evaluation of patients undergoing ursodeoxycholic acid（ UDCA） treatment,introduces the current status of UDCA combined with budesonide,fibrates,and obeticholic acid for patients with poor response to UDCA and the drugs being developed,and analyzes the influencing factors for prognosis and efficacy of UDCA. It is pointed out that prognosis and efficacy should be evaluated before and during UDCA treatment,and that therapeutic regimens should be adjusted in time to improve prognosis.
出处
《临床肝胆病杂志》
CAS
2016年第7期1266-1272,共7页
Journal of Clinical Hepatology
基金
北京市丰台区卫生系统科学研究项目(2014-19)
首都卫生发展科研专项青年项目(首发2014-4-2183)
关键词
肝硬化
胆汁性
治疗
预后
liver cirrhosis
biliary
therapy
prognosis
