EPISODE · May 20, 2026 · 7 MIN
2026DDW: 未接受抗病毒治疗的慢乙肝合并代谢性疾病的高风险死亡与肝癌
from 消化肝病前沿资讯
本期播客聚焦2026年消化疾病周发布的REAL-B队列研究，揭示未接受抗病毒治疗的慢性乙肝患者若合并代谢性疾病，死亡与肝癌风险显著攀升。近六成患者至少患一种代谢病，合并三种以上时代谢负担使死亡风险增2.4倍，糖尿病更是独立高危因素，肝癌风险翻倍。研究以倾向评分匹配确保公平比较，填补未治人群数据空白，呼吁临床与患者共管代谢健康以改善预后。00:06未治慢乙肝患者代谢病风险引关注00:52代谢病数量越多慢乙肝风险越高01:42糖尿病显著提升慢乙肝肝癌风险02:30倾向评分匹配排除干扰保公平03:19研究填补未治患者数据空白04:08应优先管理慢乙肝代谢病风险05:03糖尿病促肝纤维化机制解析05:59医患共管代谢状况意义重大06:46国际多中心增强结果可信度
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2026DDW: 未接受抗病毒治疗的慢乙肝合并代谢性疾病的高风险死亡与肝癌
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This episode was published on May 20, 2026.
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