摘要
食管癌是营养不良发生率最高的恶性肿瘤。营养不良会降低食管癌细胞对放化疗的敏感性,增加治疗不良反应,延长住院时间,延缓身体康复,增加医疗费用,降低患者治疗疗效和生活质量。因此,开展规范化的营养治疗对食管癌患者具有重要的意义。然而,迄今为止,国内外均没有专门针对食管癌患者的营养治疗指南。因此,中国抗癌协会肿瘤营养专业委员会、中华医学会肠外肠内营养学分会和中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组的肿瘤营养专家,通过对食管癌营养治疗最新国内国外文献的全面检索与分析,并经过反复讨论与修改,制定了本指南。指南从食管癌患者的营养诊断、营养治疗适应证、治疗途径、治疗通路、营养素和疗效评价六个方面的内容分别进行了证据论述和意见推荐。
Esophageal cancer patients are at the highest incidence of malnutrition.Malnutrition will reduce the sensitivity of esophageal cancer cells to chemoradiotherapy,increase adverse reactions to the treatment,prolong hospital stays,delay physical rehabilitation,increase medical costs,and reduce treatment efficacy and the quality of life.Therefore,the standardized nutritional therapy is of great significance to patients with esophageal cancer.However,to date,there are no guidelines for nutritional therapy for esophageal cancer patients.Therefore,senior tumor nutritionists from Chinese Society of Nutritional Oncology,Chinese Society for Parenteral and Enteral Nutrition and the Nutrition and Supportive Therapy Group of Chinese Association for Therapeutic Radiation Oncologists searched and analyzed the latest literature on nutritional therapy of esophageal cancer in China and worldwide.After repeated discussions and modifications,they developed this guideline.The guideline supplies demonstration of the evidence and recommendation of useful suggestions and ideas in six aspects,i.e.the nutrition diagnosis,indications of nutritional therapy,treatment approach,treatment pathways,nutrients and the evaluations of therapeutic efficacy for the patients with esophageal cancer.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2020年第1期1-6,I0001-I0004,共10页
Chinese Journal of Clinical Oncology
基金
国家重点研发计划项目(编号:2017YFC1309200)资助。
关键词
食管癌
营养治疗
指南
esophageal cancer
nutritional treatment
guidelines
