Tchekmedyian N S
Pacific Shores Medical Group Long Beach, California, USA.
Oncology (Williston Park). 1995 Nov;9(11 Suppl):79-84.
Patients with advanced cancer or AIDS are frequently bothered by anorexia, decreased food intake, fatigue, weight loss, muscle wasting, and a decline in functional status. Nutritional support may afford these patients a better, although not longer life. Available interventions include nutrition counseling, homemade or commercial food supplements, appetite stimulants, enteral nutrition, and parenteral nutrition. Conservative cost estimates for these interventions range from $52/month for homemade supplements to $8,400/month for home parenteral nutrition. Clinicians need to be familiar with the benefits, risks, and costs of these therapies in order to suggest appropriate options.
晚期癌症或艾滋病患者经常受到厌食、食物摄入量减少、疲劳、体重减轻、肌肉萎缩和功能状态下降的困扰。营养支持或许能让这些患者生活质量更好，但无法延长其生命。现有的干预措施包括营养咨询、自制或商业食品补充剂、食欲刺激剂、肠内营养和肠外营养。这些干预措施的保守成本估计从自制补充剂每月52美元到家庭肠外营养每月8400美元不等。临床医生需要熟悉这些治疗方法的益处、风险和成本，以便提出合适的选择。
