急性白血病患者的营养状态分析现况-肿瘤代谢与营养电子杂志.pdf

·123· 肿瘤代谢与营养电子杂志  2016年6月第3卷第2期            Electron J Metab Nutr Cancer，Jun. 2016，Vol. 3， No. 2 ·综述· DOI：10.16689/11-9349/r.2016.02.014 急性白血病患者的营养状态分析现况 李济，谭业辉，王畅（吉林大学第一医院肿瘤肿瘤中心，长春 130021） 摘要：急性白血病患者营养不良发生率高，很多患者在治疗期间需要进行营养干预。但目前关于急性白血病患者营养 body mass index BMI 状态分析的研究较少，多局限于应用身体质量指数（ ， ）这一指标对患者的营养状态与预后进行分析， patient-generated subjective global assessment PG-SGA 很多研究也并未得到一致的结论。患者主观整体评估（ ， ）是美国肠外 肠内营养协会推荐的用于肿瘤患者营养筛查的首选方法，在实体肿瘤中应用广泛，可以定性、定量分析患者的营养状态， 但在急性白血病中的应用较少。本文通过回顾急性白血病患者营养状态分析的常用指标及其临床指导意义，讨论急性白血 病患者营养状态分析的现况，进一步说明急性白血病患者进行营养状态分析的必要性，并提出研究可参考的营养指标。 关键词 : 白血病；肿瘤；营养状态；营养指标 Analysis of the nutritional status in acute leukemia patient LI Ji, TAN Ye-hui, WANG Chang The Fist Hospital of Jilin University: CancerCenter, Changchun 130021, China Abstract: The incidence rate of malnutrition in patients with acute leukemia is quite high, many patients need nutritional intervention during the treatment. However, only a few number of current studies focus on nutritional status of patients with acute leukemia. Furthermore, these studies are limited to the application of BMI toanalysize the nutritional status and prognosis, and many studies have not been consistent. PG-SGA is the preferred method for nutritional screening of cancer patients, recommended by ASPEN (American Society for Parenteral and Enteral Nutrition). It is widely used in solid tumors to evaluate patients’nutritional status by qualitative and quantitative analysis, but it is seldom applied in acute leukemia. In this review, we’re going todiscuss the current situation of nutritional status assessment in acute leukemia patients, illustrating the necessity of analyzing nutritional status in these patients and the indicators that can be