Journal Article 肝硬変患者に対する肝疾患専門医療機関の早期介入の有効性
Effectiveness of early intervention by specialized institutions for liver cirrhosis patients
カンコウヘン カンジャ ニ タイスル カンシッカン センモン イリョウ キカン ノ ソウキ カイニュウ ノ ユウコウセイ

久永, 拓郎  ,  山﨑, 隆弘  ,  前田, 雅喜  ,  岩本, 拓也  ,  佐伯, 一成  ,  松本, 俊彦  ,  日髙, 勲  ,  丸本, 芳雄  ,  石川, 剛  ,  高見, 太郎  ,  坂井田, 功

66 ( 3 )  , pp.163 - 168 , 2017-08-01 , 山口大学医学会
This study examines liver cirrhosis(LC)patients’backgrounds and clinical courses to clarify the effectiveness of specialized institutional intervention. The early intervention group, examined prior to symptom manifestation, had a higher proportion of cases caused by HCV, and the purpose of the examination was to investigate abnormalities in liver function and the extent of pre-existing cirrhosis. Otherwise, the late intervention group, examined after symptom manifestation, had a higher proportion of cases caused by alcohol, and often patients only sought medical care after experiencing gastrointestinal variceal bleeding or other symptoms. The early group’s Child-Pugh scores remained low over long periods and lived for long durations without incident. The late group, by contrast, had high scores and only showed short-term improvement. Specialized intervention in cases of LC is effective, but must take place early on to improve the prognosis. Also, promoting patient referrals and coordinated medical care continue to be important.

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