肿瘤放疗患者的家庭营养治疗

doi:10.16689/j.cnki.cn11-9349/r.2020.03.022

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摘要恶性肿瘤患者因疾病本身原因，处于营养不良的高风险之中，其营养不良的发生率高达40%~80%，而营养不良与较差的预后相关；放射治疗作为抗肿瘤治疗的重要手段之一，在临床上应用广泛，然而在提高疗效的同时，伴随发生的不良反应如放射性黏膜炎、吞咽困难等，致使患者营养摄入不足，出现体重丢失、代谢紊乱，从而导致了营养不良的发生或加剧，影响患者的生存预后。近年来，随着医疗技术的进步，综合患者生理、心理、社会、经济等多因素考虑，患者出院后的营养治疗得到越来越多的关注。规范化管理的营养支持小组、完善的管理流程和随访，参与肿瘤放疗患者营养治疗的全程管理，通过电话、门诊随诊、家访、邮件等形式及时了解并跟进患者的营养状态，提高了营养治疗的有效性，减少了不良事件的发生。家庭营养治疗（HN）作为院内营养治疗的延续，有效维持和改善患者的营养状态，具有一定的社会及成本效益。

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	杨丽萍
	高劲

Abstract：Patients with cancer were at high risk for malnutrition because of the physical or metabolic of the disease. The incidence of malnutrition which related to poor prognosis was up to 40%-80%. Radiation therapy, as one of the important methods of anti-tumor therapy, was widely used in clinic. While the curative effect was improved, the acute and chronic responses such as radiation mucositis, dysphagia, diarrhea, vomiting and so on, was accompanied. The patients were under-nourished, weight loss and metabolic disorder during and after the radiotherapy, which seriously affected the survival and prognosis. With the development of medical technology and consideration of many factors, such as physiology, psychology, society, economy and so on, home nutrition was widely concerned. With Standardized management of nutrition support team, completely management process and follow-up, we got the information for the nutritional status of patients timely by telephone, outpatient follow-up, home visit, e-mail and so on. Home nutrition improved the effectiveness of nutritional support and reduced the occurrence of adverse events. Home nutrition, as a continuation of in-hospital nutritional support therapy, can effectively maintain and improve the nutritional status of patients, and has certain social and cost-effective benefits.

基金资助:安徽省自然科学基金（1408085MH189）
国家癌症中心攀登基金（NCC2018128037）

通讯作者: 高劲，电子邮箱：gj11667@126.com

引用本文:

杨丽萍，高劲. 肿瘤放疗患者的家庭营养治疗[J]. 肿瘤代谢与营养电子杂志, 2020, 7(3): 366-370.
Yang Liping, Gao Jin. Home nutritional for cancer patients received radiation therapy. Electron J Metab Nutr Cancer, 2020, 7(3): 366-370.

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