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癌症患者营养管理中的经口喂养

Oral feeding in the nutritional management of the cancer patient.

作者信息

De Wyes W D, Herbst S H

出版信息

Cancer Res. 1977 Jul;37(7 Pt 2):2429-31.

PMID:266417
Abstract

Nutritional therapy of the cancer patient by the oral route includes management of factors that may cause anorexia, attempts to modify the patient's eating behavior, and the offering of nutritional supplements to the patient. Anoretic factors for which specific strategies may be employed include taste abnormalities, pain, nausea, and depression. Modification of the patient's eating behavior involves patient education, monitoring, and feedback. Education includes nutritional instruction and instruction in favorable patterns for mealtime eating and stimulation of snack eating. Snack eating includes the use of nutritional supplements, and patient acceptance of commercially available supplements was studied. When synthetic chemically defined nutritional products were compared with milk-based product, patients preferred the milk-based product. Intercomparisons between milk-based products showed slight differences in preference ranking among these products and also differences between patients and controls in their relative order of ranking. Preference testing may be useful in assisting the health care team in selecting the optimal nutritional supplement to offer each patient.

摘要

通过口服途径对癌症患者进行营养治疗包括管理可能导致厌食的因素、尝试改变患者的饮食行为以及为患者提供营养补充剂。可能采用特定策略的厌食因素包括味觉异常、疼痛、恶心和抑郁。改变患者的饮食行为包括患者教育、监测和反馈。教育包括营养指导以及用餐时有利的进食模式和促进零食摄入的指导。零食摄入包括使用营养补充剂,并且研究了患者对市售补充剂的接受情况。当将合成化学定义的营养产品与乳基产品进行比较时,患者更喜欢乳基产品。乳基产品之间的相互比较显示,这些产品在偏好排名上存在细微差异,并且患者与对照组在相对排名顺序上也存在差异。偏好测试可能有助于医疗团队为每位患者选择最佳的营养补充剂。

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2
Decrease of serum carnitine levels in patients with or without gastrointestinal cancer cachexia.患有或未患有胃肠道癌恶病质患者血清肉碱水平的降低。
World J Gastroenterol. 2006 Jul 28;12(28):4541-5. doi: 10.3748/wjg.v12.i28.4541.
3
[Pathogenesis and therapy of malnutrition in oncology].
Z Ernahrungswiss. 1982 Jun;21(2):124-45. doi: 10.1007/BF02021387.
4
Relative palatability of liquid enteral feeds for general hospital patients: simple method of assessment.普通医院患者液体肠内营养制剂的相对适口性:简易评估方法
Br Med J (Clin Res Ed). 1983 Aug 20;287(6391):530. doi: 10.1136/bmj.287.6391.530.
5
The challenge of nutritional maintenance in cancer patients.癌症患者营养维持的挑战。
West J Med. 1979 Feb;130(2):145-52.