[对于患有晚期瘤病理的个体的营养支持]
Michaël Ghose1, Laurence Genton-Graf2, Hiba Mechahougui3
1Service de médecine palliative, Département de réadaptation et gériatrie, Hôpitaux universitaires de Genève, 1211 Genève 14.
卡切西亚对癌症患者的结果和生活质量产生负面影响. 早期的饮食师转诊和营养干预,包括必要时人工营养,可以改善预后.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 患者护理 患者护理
背景情况:
- 在癌症患者中,卡切西亚显著增加了治疗失败的风险.
- 它还大大降低了接受癌症治疗的个体的整体生活质量.
- 识别营养风险患者对于及时干预至关重要.
研究的目的:
- 概述当前基于证据的策略,用于管理癌症患者的缓解症.
- 详细说明营养干预措施的指示和方法,包括人工营养.
- 讨论影响停止人工营养的因素.
主要方法:
- 审查当前的临床指导方针和关于癌症缓冲症管理的文献.
- 营养干预措施的描述:食适应,口服营养补充剂,肠道营养和亲肠道营养.
- 根据患者的状态和愿望,分析启动和停止人工营养的标准.
主要成果:
- 营养干预,包括饮食适应和口服补充剂,是主要的策略.
- 人工营养适用于卡诺夫斯基表现状态 (KPS) ≥40和>6周预期寿命的患者的严重缓冲症.
- 当消化系统正常运作时,肠道营养是首选的;亲肠道营养在密切监测下提供类似的好处.
结论:
- 对有营养风险的患者来说,迅速转诊给营养学家是必不可少的.
- 人工营养,肠道或直肠道,在管理严重的缓冲症中起着至关重要的作用.
- 停止人工营养的决定需要仔细考虑医疗,个人和社会文化因素.
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