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术前体成分及营养状况对消化道肿瘤病人临床结局的影响
引用本文:王兴强,刘兴强,李春微.术前体成分及营养状况对消化道肿瘤病人临床结局的影响[J].肠外与肠内营养,2017(6):377-380.
作者姓名:王兴强  刘兴强  李春微
作者单位:1. 天津市第一中心医院移植ICU,天津,300192;2. 天津市人民医院普通外科,天津,300121
摘    要:营养不良是消化道肿瘤病人术前常见并发症,对其临床结局可产生不良影响。为保证病人围术期安全性,术前需对病人进行综合评估。针对肿瘤病人营养状况评估指标较多,然而目前针对消化道肿瘤病人营养状况有效评估方法尚不明确且缺乏肿瘤相关营养不良的评估路径。因此,本文通过综述形式探讨不同营养相关指标对消化道肿瘤病人临床结局的预测作用,以期为临床医生对消化道肿瘤病人行术前营养状况评估提供参考。

关 键 词:体成分  肌肉消耗  脂肪沉积  消化道肿瘤  临床结局

The effect of preoperative body composition and nutritional status measurements on clinical outcomes for patients with gastrointestinal cancer
Abstract:Malnutrition is a common complication in patients with gastrointestinal tract cancer and has adverse impact on clinical outcomes Thus preoperative comprehensive evaluation is needed to ensure perioperative safety.There are many tools to evaluate nutritional status.However,validated methods for identification of nutritional status in this group of patients is still absent,as well as the pathway for detecting cancer related to malnutrition.This review focuses on the studies related to evaluating the prognostic implications of nutrition related indicators in patients with gastrointestinal tract cancer to provide clinician reference of making preoperative nutritional status assessment.
Keywords:Body composition  Muscle depletion  Adipose deposition  Gastrointestinal cancer  Clinical outcomes
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