临终癌症患者的营养目标和肌肉指数变化之间的关联 在息护理下
İrem Kiraç Utku1,2, Burcu Çalişkan Aydoğmuş3, Hatice Nur Avcioğlu3
1Division of Internal Medicine, Department of Internal Medicine, Tekirdağ İsmail Fehmi Cumalıoğlu City Hospital, Tekirdağ, Turkiye.
Turkish journal of medical sciences
|November 14, 2025
概括
满足营养目标对于在癌症患者中保持肌肉质量至关重要. 肌肉超声波 (US) 可以监测这些干预措施,直骨筋肌肉显示高灵敏度.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗成像医学成像
背景情况:
- 癌症末期患者中普遍存在营养不良和肌肉衰竭,这会对预后产生负面影响.
- 床边肌肉超声波 (美国) 提供了一种评估营养状况和治疗有效性的实用方法.
- 本研究探讨了在缓性癌症护理中实现营养目标和肌肉变化之间的联系.
研究的目的:
- 评估个性化营养目标实现与通过US测量的肌肉指数之间的关系.
- 为了确定关键的肌肉群敏感的营养状况,终末期癌症患者.
- 评估美国在监测营养干预措施中的实用性.
主要方法:
- 皮下脂肪组织厚度 (SFTT),肌肉厚度 (MT) 和直骨肌 (RF) 和双臂肌 (BB) 肌肉的横截面积 (CSA) 通过US在10天内测量.
- 测量结果正常化为高度平方 (m2).
- 分析了95名具有完整回顾数据的患者,重点关注热量和蛋白质摄入量.
主要成果:
- 没有达到热量目标的患者表现出显著的肌肉参数减少.
- 达到热量目标和蛋白质摄入量≥1.5g/kg/天与减少肌肉损失相关.
- 射频射线肌肉对热量和蛋白质充足度的敏感性增加.
- 延迟热量达到独立预测加速肌肉损失.
结论:
- 达到热量和高蛋白目标对于终末癌症患者的肌肉质量保存至关重要.
- 超声波,特别是射频肌肉的超声波,是可靠的,非侵入性的工具,用于监测这一群体的营养干预措施.
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