化疗间歇期的家庭营养支持研究述评

doi:10.16689/j.cnki.cn11-9349/r.2019.03.022

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摘要目的对化疗间歇期的家庭营养支持现状进行分析，以期为临床工作者治疗化疗间歇期营养不良提供有效的治法。方法以营养不良、家庭营养支持、家庭肠内营养、家庭肠外营养、化疗、中医药膳等关键字在CNKI、万方、Pubmed等中文、外文数据库检索出近10年的相关文献，从家庭营养的概述、化疗间歇期患者营养诊断的方法、营养教育的重要性及内容、家庭肠内营养支持的方式及常用制剂及中医药在化疗间歇期家庭营养支持中的应用等方面进行综述总结。结果化疗患者在进行家庭营养支持之前应做好营养筛查与评估，由营养小组成员对存在营养风险的患者进行营养的宣教，设定个体化营养支持方案，并定期随访，根据随访结果及时的调整治疗方案。口服营养补充是家庭肠内营养的首选途径，当口服营养补充不能满足营养需求或不能经口进食时，选用管饲喂养。匀浆膳是家庭肠内营养的首选方式，其操作简单，经济实惠。中医药配合化疗可以起到减毒增效，改善患者的营养情况。结论良好的家庭营养支持可以改善化疗间歇期患者的营养状况及生活质量，降低治疗费用，节省医疗资源。

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	2耿碧竹
	1郑瑾

关键词 ：家庭营养支持, 化疗间歇期, 家庭肠内营养, 匀浆膳, 中医药药膳

Abstract：Objective To analyze the situation of family nutrition support in the intermittent period of chemotherapy, and to provide effective treatment for malnutrition in the intermittent period of chemotherapy for clinical staff. Methods Literatures related to malnutrition, home nutrition support, home enteral nutrition, home parenteral nutrition, chemotherapy, traditional Chinese medicine diet were retrieved from CNKI, Wanfang, Pubmed and other Chinese and foreign databases in the recent 10 years. The overview of family nutrition, the methods of nutrition diagnosis for patients during chemotherapy intermission, the importance and content of nutrition education, and the prescription of family enteral nutrition support were reviewed. This paper summarizes the application of traditional Chinese medicine and traditional Chinese medicine in home nutrition support during the intermittent period of chemotherapy. Results Nutritional screening and evaluation should be administrated to chemotherapy patients prior to home nutritional support. Nutrition group members should educate patients with nutritional risk, set up individualized nutritional support program, follow up regularly, and adjust the treatment plan in time accordingly. Oral nutrition supplementation is the first choice for home enteral nutrition. When oral nutrition supplementation cannot meet the nutritional needs or cannot be eaten orally, tube feeding is used. Homogeneous diet is the preferred way of home enteral nutrition. It is simple to operate and economical. Traditional Chinese medicine combined with chemotherapy can reduce toxicity and improve the nutritional status of patients. Conclusion Good home nutritional support can improve the nutritional status and quality of life of chemotherapy patients, reduce treatment costs and save medical resources.

Key words： Home nutrition support Intermittent chemotherapy Home enteral nutrition Homogeneous diet Traditional Chinese medicine diet

引用本文:

1，2耿碧竹，1郑瑾. 化疗间歇期的家庭营养支持研究述评[J]. 肿瘤代谢与营养电子杂志, 2019, 6(3): 386-390.
1，2GENG Bi-zhu, 1ZHENG Jin. Review of family nutrition support research during the intermission of chemotherapy. Electron J Metab Nutr Cancer, 2019, 6(3): 386-390.

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