...
【24h】

Evaluation of Statin Treatment for Nonalcoholic Fatty Liver Disease

机译:他汀类药物治疗非酒精性脂肪肝的评价

获取原文
获取原文并翻译 | 示例
           

摘要

Objective: To review if utilizing statin therapy in patients with nonalcoholic fatty liver disease (NAFLD) is safe and efficacious. Data Sources: A MEDLINE literature search was performed using the search terms statins, nonalcoholic fatty liver disease, NAFLD, safety, effectiveness, and efficacy. The literature search was not limited to a predetermined set of dates. The literature search included information from 2003 until February 2016. Additional references were identified from a review of literature citations. Study Selection and Data Extraction: All English-language randomized controlled trials, case reports, meta-analyses, and guidelines assessing the use of statins in patients with NAFLD were evaluated. Data Synthesis: Clinical data demonstrate that statins can increase serum transaminases; however, these effects appear to be dose dependent. Data show that statins do not exacerbate liver injury. The Statin Liver Safety Task Force indicates that statins are safe to use in patients with chronic liver diseases and compensated cirrhosis. Studies conducted to determine if statins are efficacious have been limited to small trials or case reports. However, data suggest that statins can reduce elevated serum transaminases and improve liver histology. Conclusions: Guidelines indicate that statins can be used to treat dyslipidemia in patients with NAFLD and nonalcoholic steatohepatitis. Statins may be a viable treatment option for NAFLD in patients who have an increased cardiovascular risk. Additional large, randomized controlled trials need to be conducted in order to confirm the beneficial effects of statins in NAFLD.
机译:目的:探讨在非酒精性脂肪性肝病(NAFLD)患者中使用他汀类药物疗法是否安全有效。数据来源:MEDLINE文献搜索使用他汀类药物,非酒精性脂肪肝疾病,NAFLD,安全性,有效性和功效进行搜索。文献搜索不限于预定的日期集。文献检索包括2003年至2016年2月的信息。通过对文献引文的审查确定了其他参考文献。研究选择和数据提取:对所有英语随机对照试验,病例报告,荟萃分析和评估他汀类药物在NAFLD患者中使用的指南进行了评估。数据综合:临床数据表明他汀类药物可增加血清转氨酶;但是,这些作用似乎与剂量有关。数据显示他汀类药物不会加剧肝损伤。他汀肝安全工作队指出,他汀类药物可安全用于患有慢性肝病和代偿性肝硬化的患者。确定他汀类药物是否有效的研究仅限于小型试验或病例报告。但是,数据表明他汀类药物可以减少血清转氨酶升高并改善肝脏组织学。结论:指南表明,他汀类药物可用于治疗NAFLD和非酒精性脂肪性肝炎的血脂异常。他汀类药物可能是心血管疾病风险增加的NAFLD患者的可行治疗选择。为了确定他汀类药物在NAFLD中的有益作用,还需要进行其他大型,随机对照试验。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号