Ching N, Grossi C, Zurawinsky H, Jham G, Angers J, Mills C, Nealon T F
J Am Geriatr Soc. 1979 Nov;27(11):491-4. doi: 10.1111/j.1532-5415.1979.tb01735.x.
Nutritional deficits and their correction were studied in 45 cancer patients (age range, 60--86 years) who were undergoing various modalities of cancer therapy. Their nutritional status was maintained with a variety of commercially available special diets, and serum albumin concentrations were sequentially determined in order to gauge the efficacy of the nutritional support. Serum albumin levels were preserved when nutritional support was employed in surgical therapy. However, patients undergoing palliative chemotherapy or radiotherapy responded only to adequate levels of the standard hospital diet with or without supplements of special enteral diets. In the survivors, albumin levels were maintained; in the nonsurvivors, albumin levels decreased. This group of older patients tolerated nutritional support therapy, especially when it was carefully monitored. Satisfactory nutritional therapy can be achieved by use of appropriate enteral formulas. The method lends itself to adequate management in the outpatient or nursing-home situation during certain phases of cancer.
对45名正在接受各种癌症治疗方式的癌症患者（年龄范围60 - 86岁）的营养缺乏情况及其纠正方法进行了研究。通过各种市售特殊饮食维持他们的营养状况，并依次测定血清白蛋白浓度以评估营养支持的效果。在手术治疗中采用营养支持时，血清白蛋白水平得以维持。然而，接受姑息性化疗或放疗的患者仅对标准医院饮食的充足水平有反应，无论是否补充特殊肠内饮食。在幸存者中，白蛋白水平得以维持；在非幸存者中，白蛋白水平下降。这组老年患者耐受营养支持治疗，尤其是在仔细监测的情况下。通过使用适当的肠内配方可以实现令人满意的营养治疗。该方法适用于癌症某些阶段在门诊或疗养院环境中的充分管理。
