Thiel H J, Reiss C
Infusionsther Klin Ernahr. 1982 Aug;9(4):162-4.
Nutrition and metabolism are vital functions just as respiration and cardio-vascular function which influence general well-being, physical and mental capacity, immunocompetence and wound healing. Malnutrition is a high-risk factor and carries a high morbidity and mortality. 30-50% of our patients nowadays are malnourished. Particularly tumor patients suffer from malnutrition which is still aggravated by radiotherapy and its side effects. Therefore the accompanying alimentary guidance and treatment are very important factors. A plan comprising several degrees from dietary guidance, forced oral and enteral nutrition to intravenous hyperalimentation has proved to be practicable. For the ambulatory radiotherapy of our ORL-patients, we have recently been applying a Nutromat, a promoter system operating according to the Bakey pump system and serving for continuous or discontinuous enteral nutrition therapy with formula or elementary diets. The authors describe principle and function of the device and present their first experiences. By using early and consequently this device for our irradiated patients, we hope to prevent or heal malnutrition, ameliorate the tolerance of tumor therapy and the patient's energy, increase the physical and psychical health, reduce the incidence of complications, reestablish the immunocompetence, and improve the survival and life quality of the patients.
营养与代谢是至关重要的功能，如同呼吸和心血管功能一样，会影响总体健康、身体和心理能力、免疫能力及伤口愈合。营养不良是一个高危因素，具有高发病率和死亡率。如今我们30%至50%的患者存在营养不良状况。尤其是肿瘤患者深受营养不良之苦，而放疗及其副作用还会使其进一步加重。因此，随之而来的营养指导和治疗是非常重要的因素。一个涵盖从饮食指导、强制口服和肠内营养到静脉高营养等多个层面的计划已被证明是可行的。对于我们耳鼻喉科患者的门诊放疗，我们最近一直在使用一种营养自动装置，这是一种依据贝基泵系统运行的促进系统，用于连续或间断的肠内营养治疗，可使用配方饮食或要素饮食。作者描述了该装置的原理和功能，并介绍了他们的初步经验。通过尽早并持续地将此装置用于我们接受放疗的患者，我们希望预防或治愈营养不良，改善肿瘤治疗的耐受性和患者的能量状况，增强身心健康，降低并发症的发生率，恢复免疫能力，并提高患者的生存率和生活质量。
