年美国肝病学会(AASLD)发布的实践指引和指南是对年版自身免疫性肝炎(AIH)指南的更新,从而在现有证据和专家意见的基础上为AIH的诊疗提供指引,并在系统回顾文献和证据质量的基础上为相关临床问题提供指导。
该实践指引更新了成人和儿童AIH的流行病学、诊断、治疗和预后,包括两个部分:指导性建议和指引性声明。
指导性建议均基于对医学文献的系统回顾所获得的证据,并在适当时通过Meta分析予以支持。
指引性声明是指由专家小组在正式审查和分析已发表文献的基础上协商一致后达成的共识。
原版英文指南,在文末:
DiagnosisandManagementofAutoimmuneHepatitisinAdultsandChildren:PracticeGuidanceandGuidelinesFromtheAmericanAssociationfortheStudyofLiverDiseases术语:
Abbreviations:AASLD,AmericanAssociationfortheStudyofLiverDiseases;AIH,autoimmunehepatitis;ALF,acuteliverfailure;ALT,alanineaminotransferase;AMA,antimitochondrialantibodies;ANA,antinuclearantibodies;anti-α-actinin,antibodytoalpha-actinin;anti-HBc,antibodiestohepatitisBcoreantigen;anti-LC1,antibodiestolivercytosoltype1;anti-LKM1,antibodiestoLKM1;anti-PD-1,antibodytoPD-1;anti-SLA,antibodiestoSLA;ARFI,acousticradiationforceimpulseimaging;ASC,autoimmunesclerosingcholangitis;AST,aspartateaminotransferase;AZA,azathioprine;Breg,Bregulatorycell;CD,clusterofdifferentiation;CI,confidenceinterval;CsA,cyclosporine;CTL,cytotoxicTlymphocyte;CTLA-4,cytotoxicTlymphocyteantigen-4;GGT,gamma-glutamyltransferase;GRADE,GradingofRe