摘要
食管鳞状细胞癌营养不良发生率高,单纯营养支持疗效欠佳,采用抗肿瘤治疗联合营养干预、代谢调节等综合治疗,在降低患者肿瘤负荷的同时,保证热量营养素的供给、吸收和利用,对于改善或逆转营养不良至关重要。准确全面的营养代谢诊断和肿瘤学诊断是有效治疗的前提,营养代谢治疗、修复及维持进食能力等减症治疗是食管鳞状细胞内科抗肿瘤治疗顺利实施的保障。治疗期间需按期行营养学评估及肿瘤学评估,根据评估情况及时调整治疗方案。
Malnutrition is highly prevalent in esophageal squamous cell carcinoma patients,and simple nutritional support is usually not effective.It is crucial for patients to improve or reverse malnutrition by anti-tumor therapy combined with nutritional intervention and metabolic regulation as well as comprehensive treatments to reduce the tumor load,and ensure the caloric nutrients supply,absorption and utilization.Accurate and comprehensive nutritional metabolism diagnosis and oncology diagnosis are the prerequisite for effective treatment.Nutritional and metabolic treatment,repair and maintenance of eating capacity and other symptomatic treatments are the guarantee for the smooth implementation of medical anti-tumor treatment for esophageal cancer patients.Nutrition and oncology evaluation should be carried out regularly during the treatment,and the treatment plan should be adjusted timely based on the evaluation results.
作者
李苏宜
LI Suyi(The First Affiliated Hospital of University of Science and Technology of China(West District),Anhui Provincial Cancer Hospital,Hefei 230031,China)
出处
《肿瘤学杂志》
CAS
2024年第2期127-132,共6页
Journal of Chinese Oncology
