肝癌患者不同疾病状态时的营养治疗

肝癌是常见的消化系统恶性肿瘤,发病率占我国恶性肿瘤的第4位,死亡率占第2位.营养不良贯穿肝癌患者的整个病程,发生率高达80％,肝癌患者经历肌肉蛋白质消耗和支链氨基酸氧化减少,营养不良以蛋白质-能量营养不良多见.肝癌患者在入院时应进行常规的营养诊断(营养筛查、营养评估及综合评定),并遵循五阶梯治疗原则进行营养干预.稳定期...

Nutritional therapy of patients with liver cancer in different disease states

Liver cancer is one of the most common malignant tumor that occurs in digestive system.Liver cancer is the 4th in morbidity and 2nd in mortality in China,which is a seriously endanger people's health and life.Malnutrition occurs throughout the entire course of liver cancer and the incidence of malnutrition is 80%.Patients often experience muscle protein consumption and decreased oxidation of branched amino acids,especially protei⁃energy malnutrition.For the diagnosis of malnutrition,liver cancer patients need routine nutritional diagnosis(nutrition screening,nutritional assessment and comprehensive assessment)when they are admitted to hospital,and follow the five⁃step principle for nutrition intervention.Optimal daily energy intake should not be lower than 30-35 kcal/kg,optimal daily protein intake should not be lower than 1.2-1.5 g/kg.For patients with hepatic encephalopathy need to reduce protein intake as appropriately and select protein sources reasonably.Patients with liver cancer with metabolic disorders and multiple organ dysfunction require multidisciplinary treatment and adhere to full nutritional management.Liver cancer patients which undergo liver resection,liver transplantation and interventional treatment have various nutritional problems,also accompanied by liver cirrhosis,hepatic encephalopathy,sarcopenia and sarcopenic obesity,individualized nutritional therapy in different disease states have a positive effect on the quality of life and prognosis of liver cancer patients.This article summarizes the nutritional therapy of patients with liver cancer in different clinical disease states to improve the prognosis of patients with liver cancer.