围手术期肿瘤患者营养支持疗法的认识和实践

被引：16

作者：

曹伟新

机构：

[1] 上海交通大学医学院附属瑞金医院临床营养科

来源：

中华临床营养杂志 | 2012年 / 02期

关键词：

恶性肿瘤有手术治疗指征患者; 营养风险筛查; 营养评定; 营养不良; 营养不足; 围手术期营养支持;

D O I：

暂无

中图分类号：

R459.3 [饮食疗法、临床营养学];

学科分类号：

摘要：

有手术治疗指征的肿瘤患者在手术前应接受营养风险筛查或加营养评定。对于存在营养风险或营养不良(不足)的患者应计划和实施围手术期营养支持疗法(nutrition support therapy),但无需特殊营养配方。减少术前禁食时间、术前合理营养支持和术后早期喂养是围手术期营养干预和管理的趋优组合策略。由于患者病情复杂多变,在临床实施过程中,实践者不仅应将围手术期营养干预视作一门技术,更宜将之视作一门"艺术",将指南、病情和临床经验"巧妙剪裁和组合",促进营养支持疗法改善患者结局的效果。

引用

页码：65 / 68

共 8 条

[1]

Enhanced recovery after surgery programs hasten recovery after colorectal resections[J]. Ned Abraham,Sinan Albayati.World Journal of Gastrointestinal Surgery. 2011(01)

[2]

Effect of preoperative immunonutrition and other nutrition models on cellular immune parameters[J]. Yusuf Gunerhan,Neset Koksal,Umit Yasar Sahin,Mehmet Ali Uzun,Emel Ek■ioglu-Demiralp.World Journal of Gastroenterology. 2009(04)

[3]

ESPEN Guidelines on Parenteral Nutrition: Surgery[J] . M. Braga,O. Ljungqvist,P. Soeters,K. Fearon,A. Weimann,F. Bozzetti.Clinical Nutrition . 2009 (4)

[4]

ESPEN Guidelines on Parenteral Nutrition: Non-surgical oncology[J] . F. Bozzetti,J. Arends,K. Lundholm,A. Micklewright,G. Zurcher,M. Muscaritoli.Clinical Nutrition . 2009 (4)

[5]

Early Enteral Nutrition Within 24 h of Intestinal Surgery Versus Later Commencement of Feeding: A Systematic review and Meta-analysis[J] . Stephen J. Lewis,Henning K. Andersen,Steve Thomas.Journal of Gastrointestinal Surgery . 2009 (3)

[6]

Nutritional support during oncologic treatment of patients with gastrointestinal cancer: Who could benefit?[J] . Pierre Senesse,Eric Assenat,Stéphane Schneider,Cyrus Chargari,Nicolas Magné,David Azria,Xavier Hébuterne.Cancer Treatment Reviews . 2008 (6)

[7]

ESPEN Guidelines on Enteral Nutrition: Surgery including Organ Transplantation[J] . A. Weimann,M. Braga,L. Harsanyi,A. Laviano,O. Ljungqvist,P. Soeters,K.W. Jauch,M. Kemen,J.M. Hiesmayr,T. Horbach,E.R. Kuse,K.H. Vestweber.Clinical Nutrition . 2006 (2)

[8]

ESPEN Guidelines on Enteral Nutrition: Non-surgical oncology[J] . J. Arends,G. Bodoky,F. Bozzetti,K. Fearon,M. Muscaritoli,G. Selga,M.A.E. van Bokhorst-de van der Schueren,M. von Meyenfeldt,G. Zürcher,R. Fietkau,E. Aulbert,B. Frick,M. Holm,M. Kneba,H.J. Mestrom,A. Zander.Clinical Nutrition . 2006 (2)

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