《2025年美国肝病学会/美国感染病学会实践指南: 慢性乙型肝炎的治疗》推荐意见
DOI: 10.12449/JCH251207
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:邢翔宇负责翻译、整理文献;高沿航负责翻译、审校及最终定稿。
Recommendations from AASLD/IDSA practice guideline on treatment of chronic hepatitis B
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摘要: 全球约有2.58亿慢性乙型肝炎(CHB)患者,每年导致约110万人因乙型肝炎相关肝硬化及肝细胞癌死亡。美国数据显示,实际乙型肝炎病毒感染负担可能高达180万人,且约半数感染者未获诊断。2025年11月,美国肝病学会/美国感染病学会发布新版CHB治疗实践指南,该指南基于既往版本指南意见及最新循证医学证据制定。本文对该指南的推荐意见进行摘译。Abstract: Globally, there are approximately 258 million individuals living with chronic hepatitis B (CHB), resulting in about 1.1 million deaths annually due to hepatitis B-related cirrhosis and hepatocellular carcinoma. Data from the United States suggest that the actual burden of infection may be as high as 1.8 million, with around half of those infected remaining undiagnosed. In November 2025, the American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) jointly released an updated practice guideline for the management of CHB, which was developed based on previous guideline recommendations and the latest evidence-based research. This article provides a translated summary of the key recommendations from this guideline.
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Key words:
- Hepatitis B, Chronic /
- United States /
- Practice Guideline
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[1] GHANY MG, PAN CQ, LOK AS, et al. AASLD/IDSA Practice Guideline on treatment of chronic hepatitis B[J]. Hepatology, 2025. DOI: 10.1097/HEP.0000000000001549.[ Epub ahead of print] -
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