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[肿瘤患者营养支持指南]

[Guidelines on nutritional support in patients with tumor].

出版信息

Zhonghua Wai Ke Za Zhi. 2017 Nov 1;55(11):801-829. doi: 10.3760/cma.j.issn.0529-5815.2017.11.001.

DOI:10.3760/cma.j.issn.0529-5815.2017.11.001
PMID:29136728
Abstract

Nutritional support for patients with tumor has been considered an important part of multidisciplinary treatment of tumor. It could improve the prognosis and quality of life for tumor patients when performed in a reasonable and effective way. Chinese Society for Parenteral and Enteral Nutrition (CSPEN) convened experts to develop these guidelines after many discussions and revisions according to standard procedures of guideline's development which were used worldwide. In order to develop these guidelines, we systematically reviewed the related global literature published in recent years, referred to other guidelines of national and international nutrition society, considered on expert opinion and their clinical experience in our country, and widely consulted the members of CSPEN and other related professionals. In the guideline, we firstly expounded metabolic characteristics and nutritional requirements in patients with tumor, and then raised 13 common questions existed in the practice of clinical nutrition, and provided 33 recommendations followed by systematic discussion. The guideline will help to standardize the clinical nutrition practice, provide reasonable and effective nutrition support, and further improve the prognosis and quality of life for tumor patients. We hope that the guideline release could provide theoretical guidance for nutritional support in patients with tumor in our country, and also make great contributions to much progress of clinical nutrition and tumor treatment in our country, and strengthen the multidisciplinary cooperation.

摘要

肿瘤患者的营养支持已被视为肿瘤多学科治疗的重要组成部分。以合理有效的方式进行营养支持,可改善肿瘤患者的预后和生活质量。中国肠外肠内营养学会(CSPEN)按照全球通用的指南制定标准程序,经多次讨论和修订后召集专家制定了本指南。为制定本指南,我们系统回顾了近年来发表的相关全球文献,参考了其他国内外营养学会的指南,考量了国内专家意见及其临床经验,并广泛征求了CSPEN成员及其他相关专业人士的意见。在本指南中,我们首先阐述了肿瘤患者的代谢特征和营养需求,然后提出了临床营养实践中存在的13个常见问题,并给出了33条建议及系统讨论。本指南将有助于规范临床营养实践,提供合理有效的营养支持,进一步改善肿瘤患者的预后和生活质量。我们希望本指南的发布能为我国肿瘤患者的营养支持提供理论指导,也为我国临床营养和肿瘤治疗的长足发展、加强多学科合作做出巨大贡献。

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