不同类型Ⅳ期恶性肿瘤住院患者的营养状况调查
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摘要
目的:调查不同类型Ⅳ期恶性肿瘤患者的营养风险及营养治疗情况。方法:应用PG-SGA对我院186例Ⅳ期恶性肿瘤患者营养状态进行调查分析,探讨不同类型肿瘤患者的营养不良发生及治疗。结果:所有患者存在营养不良风险,其中以晚期消化道肿瘤和肺癌居多,而接受营养支持的患者明显不足。结论:晚期恶性肿瘤患者营养不良发生风险高,但临床营养支持普遍不足,因此提高意识加强对患者的营养支持治疗改善其生活质量是必须的。
Objective:To investigate the prevalent nutritional status and nutritional therapy of patients with Ⅳ maligant tumor in our hospital.Methods:Investigate and analysis the nutritional status of 186 patients with Ⅳ malignant tumor in our hospital with PG-SGA.Discuss the occurrence and treatment of dystrophy in patients with different types of tumor.Results:All patients have the risk of malnutrition,but patients receiving nutritional support are obviously in adequate.Especially digestive tract tumors and malignant lung.Conclusion:There is a high risk of malnutrition in patients with advanced malignant tumor.But lack of clinical nutritional support.So it is necessary to raise awareness and strengthen nutritional support therapy for patients to improve their quality of life.
Objective:To investigate the prevalent nutritional status and nutritional therapy of patients with Ⅳ maligant tumor in our hospital.Methods:Investigate and analysis the nutritional status of 186 patients with Ⅳ malignant tumor in our hospital with PG-SGA.Discuss the occurrence and treatment of dystrophy in patients with different types of tumor.Results:All patients have the risk of malnutrition,but patients receiving nutritional support are obviously in adequate.Especially digestive tract tumors and malignant lung.Conclusion:There is a high risk of malnutrition in patients with advanced malignant tumor.But lack of clinical nutritional support.So it is necessary to raise awareness and strengthen nutritional support therapy for patients to improve their quality of life.
引文
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[7]Wang Hui,Feng Qing,Li Qun.Nutritional evaluation and application of nutritional support in hospitalized tumor patients[J].Jiangsu Medicine,2014,2(40):306-308.[王卉,冯晴,李群.住院肿瘤患者营养评价及营养支持应用状况分析[J].江苏医药,2014,2(40):306-308.]
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[9]Luo Zhipeng,Shi Huawei,Xue Yaochun,et al.Investigation and analysis of nutritional status in common cancer patients[J].Parenteral&Enteral Nutrition,2016,23(3):162-164.[罗智鹏,石华伟,薛瑶纯,等.姜海平常见恶性肿瘤住院病人营养状态的调查和分析[J].肠外与肠内营养,2016,23(3):162-164.]
[10]Wang Yingchun.Relationship between nutritional status and quality of life in elderly patients with malignant tumor[J].Chinese Journal of Gerontology,2012,3(32):1240-1242.[王迎春.老年恶性肿瘤患者营养状况及其与生活质量相关性[J].中国老年学杂志,2012,3(32):1240-1242.]
[11]Gabrielson DK,Scaffidi D,Leung E,et al.Use of an abridged scored patient-generated subjective global assessment(PGSGA)as anutritional screening tool for cancer patients in an outpatient setting[J].Nutr Cancer,2013,65(2):234-239.
[12]Li Suyi.Clinical management of malnutrition in cancer patients[J].Chinese Journal of Clinical Health Care,2016,19(2):113-116.[李苏宜.肿瘤患者营养不良的临床管理[J].中国临床保健杂志,2016,19(2):113-116.]
[13]Shi Hanping,Xu Hongxia,Li Suyi,et al.Five step treatment of malnutrition[J].Electron J Metab Nutr Cancer,2015,2(1):29-33.[石汉平,许红霞,李苏宜,等.营养不良的五阶梯治疗[J].肿瘤代谢与营养电子杂志,2015,2(1):29-33.]
[14]CSCO Expert Committee of the Tumor Nutritional Therapy.Expert concensus of the nutritional treatment to malignant patients[J].Chin Clin Oncol,2012,17(1):59-73.[CSCO肿瘤营养治疗专家委员会.恶性肿瘤患者的营养治疗专家共识[J].临床肿瘤学杂志,2012,17(1):59-73.]
[15]Yu Zaoqin,Yu Shiying,Sun Lei,et al.Nutritional support of cancer patients in palliative care[J].Chin J Pharmacoepidemiol,2014,23(10):628-631.[余早勤,于世英,孙蕾,等.恶性肿瘤患者姑息治疗的营养支持[J].药物流行病学杂志,2014,23(10):628-631.]
[2]Bozzetti F,Mariani L,Lo Vullo S,et al.The nutritional risk in oncology:A study of 1 453 cancer outpatients[J].Support Care Cancer,2012,20(8):1919-1928.
[3]Sobin LH,GS Marie,WT Kristen,et al.TNM Classification of Malignant Tumours[M].Tianjin:Tianjin Science and Technology Translation Publishing co.,ltd,2012,7,1.[莱斯利·索宾,GS玛丽,WT克里斯坦,等.恶性肿瘤TNM分期[M].天津:天津科技翻译出版公司,2012-07-01.]
[4]Ottery FD.Rethinking nutritional support of the cancer patient:The new field of nutritional oncology[J].Semin Oncol,1994,21(6):770-778.
[5]Dev R,Dalal S,Bruera E.Is there a role for parenteral nutrition or hydration at the end of life[J]?Curr Opin Support Palliat Care,2012,6(3):365-370.
[6]Wu Guohao.The pathogenesis and nutritional treatment of cachexia in patients with malignant tumor[J].J Surg Concepts Pract,2012:17(2):98-101.[吴国豪.恶性肿瘤病人恶病质发生机制及营养治疗[J].外科理论与实践,2012,17(2):98-101.]
[7]Wang Hui,Feng Qing,Li Qun.Nutritional evaluation and application of nutritional support in hospitalized tumor patients[J].Jiangsu Medicine,2014,2(40):306-308.[王卉,冯晴,李群.住院肿瘤患者营养评价及营养支持应用状况分析[J].江苏医药,2014,2(40):306-308.]
[8]Ma Yan,Hou Wenhong,Sun Yongmin,et al.Nutritional risk screen and investigation on 627 gastrointestinal cancer patients treated with radiotherapy[J].BMU Journal,2015,38(1):35-37.[马燕,侯文红,孙永敏,等.627例放疗科消化道肿瘤患者营养风险筛查分析[J].滨州医学院学报,2015,38(1):35-37.]
[9]Luo Zhipeng,Shi Huawei,Xue Yaochun,et al.Investigation and analysis of nutritional status in common cancer patients[J].Parenteral&Enteral Nutrition,2016,23(3):162-164.[罗智鹏,石华伟,薛瑶纯,等.姜海平常见恶性肿瘤住院病人营养状态的调查和分析[J].肠外与肠内营养,2016,23(3):162-164.]
[10]Wang Yingchun.Relationship between nutritional status and quality of life in elderly patients with malignant tumor[J].Chinese Journal of Gerontology,2012,3(32):1240-1242.[王迎春.老年恶性肿瘤患者营养状况及其与生活质量相关性[J].中国老年学杂志,2012,3(32):1240-1242.]
[11]Gabrielson DK,Scaffidi D,Leung E,et al.Use of an abridged scored patient-generated subjective global assessment(PGSGA)as anutritional screening tool for cancer patients in an outpatient setting[J].Nutr Cancer,2013,65(2):234-239.
[12]Li Suyi.Clinical management of malnutrition in cancer patients[J].Chinese Journal of Clinical Health Care,2016,19(2):113-116.[李苏宜.肿瘤患者营养不良的临床管理[J].中国临床保健杂志,2016,19(2):113-116.]
[13]Shi Hanping,Xu Hongxia,Li Suyi,et al.Five step treatment of malnutrition[J].Electron J Metab Nutr Cancer,2015,2(1):29-33.[石汉平,许红霞,李苏宜,等.营养不良的五阶梯治疗[J].肿瘤代谢与营养电子杂志,2015,2(1):29-33.]
[14]CSCO Expert Committee of the Tumor Nutritional Therapy.Expert concensus of the nutritional treatment to malignant patients[J].Chin Clin Oncol,2012,17(1):59-73.[CSCO肿瘤营养治疗专家委员会.恶性肿瘤患者的营养治疗专家共识[J].临床肿瘤学杂志,2012,17(1):59-73.]
[15]Yu Zaoqin,Yu Shiying,Sun Lei,et al.Nutritional support of cancer patients in palliative care[J].Chin J Pharmacoepidemiol,2014,23(10):628-631.[余早勤,于世英,孙蕾,等.恶性肿瘤患者姑息治疗的营养支持[J].药物流行病学杂志,2014,23(10):628-631.]