在非胃肠道固体恶性瘤患者的最后几周提供营养
Tomoyuki Nonogaki1, Keisuke Maeda2, Akio Shimizu3
1Department of Pharmacy, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan; Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1, Yazakokarimata, Nagakute, Aichi 480-1195, Japan.
临终癌症患者的营养支持通常会随着死亡的临近而转向腹腔营养,总体摄入量减少. 这项研究突出了日本末期癌症患者营养供应的趋势.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 临床营养学 临床营养学
背景情况:
- 关于终末期癌症患者的营养支持的数据有限.
- 需要真实世界的分析来了解末期癌症的营养供应.
研究的目的:
- 调查末期癌症患者的营养输送和输液状态.
- 分析口服饮食,肠道养和生命末期亲肠道营养的趋势.
主要方法:
- 对日本医疗索赔数据库的回顾性分析.
- 包括患有瘤的住院患者>7天 (2014年4月至2018年12月).
- 从死亡前28天的营养输送和输注量/能量提取的数据.
主要成果:
- 分析了12908名患者的情况.
- 没有口服或肠道营养的患者比例显著增加,接近死亡 (80.2%在0天).
- 输液量和能量含量在死亡前期下降 (P<0.001).
结论:
- 临终癌症患者临近死亡时,亲肠道营养的使用增加.
- 在生命的最后几天,整体营养摄入量很低.
- 研究提供了对日本末期癌症的营养治疗的见解.
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