摘要
肿瘤患者营养不良发病率高,尤其多见于消化道肿瘤、头颈部肿瘤和肺癌。门诊患者需要营养治疗建议的比例最低,住院患者较高,家庭护理患者需要营养治疗建议的比例最高。肿瘤相关蛋白质-能量营养不良可以产生多种负面影响,如治疗风险增加和死亡率提高,早发现、早诊断有利于肿瘤患者的康复和预后。营养不良筛查和评估工具的临床应用有利于肿瘤相关蛋白质-能量营养不良的早发现、早诊断。与人体测量相比,营养不良筛查和评估工具及临床预后一致性更好。SGA、MNA和PG-SGA都可以作为肿瘤患者营养不良的筛查和评估工具,有临床应用前景,其中PG-SGA是最适合肿瘤患者,敏感性和特异性均较高的方法,值得推广。
Most cancer patients develop clinical malnutrition, especially in gastrointestinal tract cancer, head and neck region cancer and lung cancer. The patients in whom the nutritional recommendations are lower than those who are outpatientc, and increased in thoce hospitalized and even more in those receiving home-based care. Malnutrition negatively affects patients＇ response to therapy, incbeases the incidence of treatment- related side effects and can decrease survival. Early identification of patients who are mal-nourished or at risk of malnutrition can promote recovery and improve prognosis. The development and use of screening and assessment tools is essential for effective nutritional intervention and management of patients with cancer. SGA, MNA and PG-SGA can be used in patients with cancer. Compare to anthropometry, screening and assessment tools are better indicator of disease-related malnutrition, for they can better predict hospital related outcomes. PG-SGA is the best screening and assessment tool because of its high sensibility and specificity.
出处
《中华肿瘤防治杂志》
CAS
2007年第16期1269-1271,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
肿瘤患者
营养不良
综述文献
cancer patients
malnutrition
review literature
