.中国肝癌一级预防专家共识(2018)[J].中国肿瘤,2018,27(9):660-669.
中国肝癌一级预防专家共识(2018)
Strategies of Primary Prevention of Liver Cancer in China:Expert Consensus (2018)
投稿时间:2018-08-24  
DOI:10.11735/j.issn.1004-0242.2018.09.A005
中文关键词:  肝肿瘤  一级预防  专家共识
英文关键词:liver neoplasms  primary prevention  expert consensus
基金项目:传染病国家科技重大专项(2012ZX10002008、2012ZX10002010、2017ZX10201201-006)
摘要点击次数: 2181
全文下载次数: 589
中文摘要:
      摘 要:肝癌是我国最常见的恶性肿瘤之一,其病因主要包括乙型肝炎病毒(HBV)、丙型肝炎病毒感染和黄曲霉毒素,蓝藻毒素和多种可干预的个体行为方式在肝癌发生发展中也具有重要作用,实施肝癌病因的一级预防措施是在我国降低其疾病负担的重要途径。根据我国肝癌的流行病学特征,依据在我国人群中开展并获得的肝癌一级预防证据,共识探讨了乙肝疫苗接种,包括针对不同HBV感染状态母亲的新生儿及儿童的乙肝疫苗接种程序;慢性乙型、丙型肝炎患者的抗病毒治疗;预防和避免黄曲霉毒素及蓝藻毒素暴露;改变高危致癌风险相关的生活方式等。以期制订中国肝癌干预一级预防指南,推进我国肝癌的有效预防。
英文摘要:
      Abstract:Liver cancer is one of the most common cancers in China. The major risk factors are chronic infections of hepatitis B virus (HBV),hepatitis C virus (HCV),high exposure to aflatoxins. In addition,exposure to cyanotoxins and some preventable health behaviors are also recognized to contribute to liver cancer development. To relieve the disease burden,primary prevention of etiological interventions is an important strategy. Based on the liver cancer epidemiology in China and the effective evidences and results from the etiological interventions conduced in Chinese population domestically the following strategies are recommended in the “Strategies of primary prevention of liver cancer:expert consensus(2018)” to promote the effective prevention of liver cancer in general population. Immunization with HBV vaccines,including the immune programs to neonates,infants and children born to mothers with different status of HBV infection. Antiviral therapies to the patients with chronic hepatitis B or hepatitis C. Avoiding or reducing the exposure to aflatoxins as well as the cyanotoxins. Changing harmful life style,including quitting smoking and limiting alcohol etc.
在线阅读   查看全文  查看/发表评论  下载PDF阅读器