肿瘤患者临床营养问题与评估
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• A at admission, • B 2 weeks after admission or
discharge. • PAN pancreas, • CAR cardiac, • STO stomach, • ESO esophagus, • COL colon, • LIV liver, • REC rectus, • UN lung, • BRE breast.
近年来多个研究中的肿瘤营养风险 发生率
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
营养不良的肿瘤患者，化疗相关毒 副作用发生率显著升高
Barret M, Malka D, Aparicio T, et al. Nutritional status affects treatment tolerability and survival in metastatic colorectal cancer patients: results of an AGEO prospective multicenter study. Oncology. 2011;81(5-6):395-402.
肿瘤患者发生营养不良 的危险因素
Pressoir M, Desné S, Berchery D, et al. Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centres. Br J Cancer. 2010 Mar 16;102(6):966-71.
住院期间各种并发症发生率的比较 （有营养风险 vs 无营养风险）
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
不同部位肿瘤的营养风险发生率比较
• Figure 1. The prevalence of nutritional risk at admission and at 2 weeks after admission or discharge according to the different sites of primary tumors.
肿瘤患者临床营养问题与评估
张宇
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养治疗方法选择
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养评估
肿瘤患者营养代谢发生改变
Marín Caro MM, Laviano A, Pichard C. Nutritional intervention and quality of life in adult oncolHale Waihona Puke Baidugy patients. Clin Nutr. 2007 Jun;26(3):289-301.
化疗本身会加重患者的营养不良
Malihi Z, Kandiah M, Chan YM, et al. Nutritional status and quality of life in patients with acute leukaemia prior to and after induction chemotherapy in three hospitals in Tehran, Iran: a prospective study. J Hum Nutr Diet. 2013 Jul;26 Suppl 1:123-31.
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养评估
肿瘤患者营养状态与全身炎症水平 密切相关
Gomes de Lima KV, Maio R. Nutritional status, systemic inflammation and prognosis of patients with gastrointestinal cancer. Nutr Hosp. 2012 May-Jun;27(3):707-14.
众多内科疾病中，肿瘤是营养不良 发生率最高的
Meijers JM, Schols JM, van Bokhorst-de van der Schueren MA, et al. Malnutrition prevalence in The Netherlands: results of the annual dutch national prevalence measurement of care problems. Br J Nutr. 2009 Feb;101(3):417-23.
肿瘤患者随分期升高，营养摄入量 明显下降，导致体重丢失
Ravasco P, Monteiro-Grillo I, Vidal PM, et al. Cancer: disease and nutrition are key determinants of patients' quality of life. Support Care Cancer. 2004 Apr;12(4):246-52.
discharge. • PAN pancreas, • CAR cardiac, • STO stomach, • ESO esophagus, • COL colon, • LIV liver, • REC rectus, • UN lung, • BRE breast.
近年来多个研究中的肿瘤营养风险 发生率
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
营养不良的肿瘤患者，化疗相关毒 副作用发生率显著升高
Barret M, Malka D, Aparicio T, et al. Nutritional status affects treatment tolerability and survival in metastatic colorectal cancer patients: results of an AGEO prospective multicenter study. Oncology. 2011;81(5-6):395-402.
肿瘤患者发生营养不良 的危险因素
Pressoir M, Desné S, Berchery D, et al. Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centres. Br J Cancer. 2010 Mar 16;102(6):966-71.
住院期间各种并发症发生率的比较 （有营养风险 vs 无营养风险）
Yu K, Zhou XR, He SL. A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer. Eur J Clin Nutr. 2013 Jul;67(7):732-7.
不同部位肿瘤的营养风险发生率比较
• Figure 1. The prevalence of nutritional risk at admission and at 2 weeks after admission or discharge according to the different sites of primary tumors.
肿瘤患者临床营养问题与评估
张宇
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养治疗方法选择
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养评估
肿瘤患者营养代谢发生改变
Marín Caro MM, Laviano A, Pichard C. Nutritional intervention and quality of life in adult oncolHale Waihona Puke Baidugy patients. Clin Nutr. 2007 Jun;26(3):289-301.
化疗本身会加重患者的营养不良
Malihi Z, Kandiah M, Chan YM, et al. Nutritional status and quality of life in patients with acute leukaemia prior to and after induction chemotherapy in three hospitals in Tehran, Iran: a prospective study. J Hum Nutr Diet. 2013 Jul;26 Suppl 1:123-31.
目录
• 肿瘤患者营养不良现状 • 营养不良对肿瘤预后的影响 • 营养不良的肿瘤患者治疗现状 • 肿瘤患者营养评估
肿瘤患者营养状态与全身炎症水平 密切相关
Gomes de Lima KV, Maio R. Nutritional status, systemic inflammation and prognosis of patients with gastrointestinal cancer. Nutr Hosp. 2012 May-Jun;27(3):707-14.
众多内科疾病中，肿瘤是营养不良 发生率最高的
Meijers JM, Schols JM, van Bokhorst-de van der Schueren MA, et al. Malnutrition prevalence in The Netherlands: results of the annual dutch national prevalence measurement of care problems. Br J Nutr. 2009 Feb;101(3):417-23.
肿瘤患者随分期升高，营养摄入量 明显下降，导致体重丢失
Ravasco P, Monteiro-Grillo I, Vidal PM, et al. Cancer: disease and nutrition are key determinants of patients' quality of life. Support Care Cancer. 2004 Apr;12(4):246-52.