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进行神经外科手术的脑瘤患者的营养评估和管理:系统性审查

Jose Carlos Pebes Vega^1,2, Stefano Mancin^1,2, Giulia Vinciguerra²

¹Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.

|March 13, 2025

概括

为患有脑瘤的神经外科患者优化营养至关重要. 术前评估和术后营养支持显著改善康复并减少并发症.

科学领域:

神经外科神经外科
在瘤学瘤学.
临床营养学临床营养学

背景情况:

最佳的营养状况对于患有脑瘤的神经外科患者至关重要.
有效的营养管理可能会改善临床结果.

研究的目的:

系统地审查手术前后营养评估的影响.
分析营养干预对脑瘤患者临床结果的影响.

主要方法:

对PubMed,Cochrane图书馆,Embase和CINAHL数据库以及灰色文献进行系统审查.
使用乔安娜·布里格斯研究所框架进行质量评估.
根据牛津证据医学中心的证据确定性等级.

主要成果:

包括14项研究 (11,224名成年患者);许多是回顾性,样本大小小.
术前营养评估 (白蛋白,CONUT分数,PNI) 和术后口服营养补充剂与更好的结果有关.
个性化的营养咨询减少了并发症,改善了功能恢复.

结论:

营养护理对于患有脑瘤的神经外科患者至关重要,改善结果和恢复.
多学科的团队方法对于最佳的患者管理至关重要.
需要标准化的营养方案,以便在临床实践中得到更广泛的应用.

关键词:

大脑的新生瘤.营养状态营养状况在康复前,进行了预康复.系统性审查系统性审查

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