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| 引用本文： | 李增宁. ��������Ӫ��֧��[J]. 中国实用内科杂志, 2011, 31(3): 188-190 |
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| 作者姓名： | 李增宁 |
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| 作者单位： | 河北医科大学第一医院营养科; |
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| 摘 要： | 肿瘤患者基础代谢率增加,营养代谢出现异常;营养支持前要对患者进行营养风险和营养状态评估;基于CSPEN、ESPEN和ASPEN的规范,营养支持在支持机体的同时也促进了肿瘤的生长,没有证据证明这一现象会产生有害的临床结果。应根据患者营养评估和患者胃肠功能等来选择何种方式的肠内营养或肠外营养支持。对于恶病质患者,给予孕激素刺激食欲。终末期恶性肿瘤患者的治疗应该以保证生存质量及缓解症状为目的。在营养支持的同时,注意监测患者电解质等情况,及时对症处理。
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| 关 键 词： | 肿瘤患者 营养支持 营养评估 肠内营养 肠外营养 |
Nutritional support in patients with tumor. |
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| LI Zeng-ning.Nutrition Department,First Affiliated Hospital of Hebei Medical University,Shijiazhuang ,China. Nutritional support in patients with tumor.[J]. Chinese Journal of Practical Internal Medicine, 2011, 31(3): 188-190 |
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| Authors: | LI Zeng-ning.Nutrition Department First Affiliated Hospital of Hebei Medical University Shijiazhuang China |
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| Affiliation: | LI Zeng-ning.Nutrition Department,First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,China |
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| Abstract: | Tumor patients may experience increased basal metabolic rate(BMR) and abnormal nutritional metabolism,and therefore,assessment of nutritional risk and status is advised before nutritional support.According to ESPAN,ASPEN and CSPEN guidelines,nutritional support promotes tumor growth while benefitting the human body,although there are no evidences so far showing harmful clinical outcomes associated with this.Selection of enteral or parenteral nutrition should be based on patients' nutritional assessment and ... |
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| Keywords: | tumor patients nutritional support nutrition assessment enteral nutrition parenteral nutrition |
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