恶性肿瘤患者膳食营养处方专家共识.docVIP

恶性肿瘤患者膳食营养处方专家共识 Abstract: Malnutrition and dyscrasia are very common in cancer patients. Malnutrition is associated with poor treatment tolerance, reduced opportunities for treatment, increased complications, increased morbidity and mortality, prolonged hospital stay, and lower survival rate. Malnutrition not only has an impact on the effect of treatment and quality of life, but also cause huge economic losses and waste of social medical resources. Nutrition therapy as a basic methods of clinical treatment and rehabilitation, has been proved by a large number of evidence-based medicine at home and abroad. The evidence shows that the reasonable and effective nutritional support will not increase the rate of tumor recurrence or metastasis rate and lower survival rate, but can significantly improve the postoperative cancer patients nutrition and immune status, reduce the incidence of complications and postoperative infection, improve the cure rate of patients, reduce the mortality rate, reduce drug and medical expenditure, has a positive for most malnourished cancer patients. In order to apply the medical nutrition therapy on patients with cancer to clinical practice, the consensus based on existing research on the relationship between cancer and nutrition at home and abroad, and combined with the status and characteristics of Chinas diet. Systematically summarize and analyze the influence of dietary nutritional factors on cancer patients and standardize the principles and steps of oncology nutrition treatment. Apply to clinician, clinical nutrition professionals, nurse, and other health care workers. Key words: Malignant tumor; Dietary nutrition prescription; Consensus 前 言 肿瘤患者营养不良和恶液质发生率极高。中国抗癌协会肿瘤营养与支持治疗专业委员会《常见恶性肿瘤营养状况与临床结局相关性研究，INSCOC》发现：我国67%住院肿瘤患者存在中、重度营养不良。营养不良直接导致的死亡高达20%，是恶性肿瘤患者的主要死因[1]。营养不良可能引起患者治疗耐受性下降，治疗机会减少，并发症增加，生存期缩短。恶性肿瘤患者营养不良不仅严重影响治疗效果、降低患者生活质量，还造成了巨大的经济损失和社会医疗资源的浪费。 为了更好地将肿瘤的医学营养治疗理论落实到临床实践，中国抗癌协会肿瘤营养与支持治疗专业委员会，中国医师协会营养医师专业委员会，中国医疗保健国际交流促进会营养与代谢