放疗营养规范化管理专家共识

恶性肿瘤患者约有40%~80%存在营养相关问题,而营养不良对放射肿瘤患者治疗和预后具有不良影响。医学营养疗法是帮助解决放疗肿瘤患者营养不良的方法,对改善患者机体营养状况、提高肿瘤综合治疗效果有着重要意义。放疗患者在围放疗期应进行全程营养管理,放疗前、放疗中和放疗后使用营养风险筛查量表进行筛查,必要时使用患者自评-主观全面评定量表进行评定,并结合RTOG急性和晚期放射损伤分级进行规范化个体化营养支持。本共识就放疗患者的营养支持流程进行了补充和细化,结合肿瘤营养指南进一步对肿瘤放疗营养规范化管理流程和标准进行探讨,为肿瘤放疗临床工作者开展规范化营养支持提供规范和参考。

Expert consensus on standardized management of radiotherapy nutrition

About 40%-80% of patients with malignant tumors have nutrition-related problems, and malnutrition produces adverse effects on the treatment and prognoses of patients receiving radiotherapy. Medical nutrition therapy aims to help solve the malnutrition of tumor patients undergoing radiotherapy, which is of great significance to improve the nutritional status of patients and promote the comprehensive treatment effect of cancer. Patients receiving radiotherapy should be offered whole-course nutrition management during the peri-radiation period. Before, during, and after radiotherapy, NRS-2002 is utilized for nutritional risk screening;PG-SGA is employed for nutritional assessment when necessary;and standardized individualized nutritional support is provided in combination with RTOG acute and late radiation injury grading. This consensus supplemented and refined the nutritional support process for patients receiving radiotherapy, further discussed the standardized management process and standards of nutrition for radiotherapy in combination with guidelines on nutrition in cancer patients, so as to provided standards and reference for clinicians of oncology radiotherapy to develop standardized nutritional support.