期刊 营养,肿瘤一线治疗的落实与思考  

Implementation and thinking of the first⁃line nutrition treatment in cancer patients

作  者:李涛 吕家华 

Li Tao;Lyu Jiahua(Department of Radiotherapy,Cancer Hospital Affiliated to Medical College,University of Electronic Science and Technology of China,Chengdu 610041,Sichuan,China)

机构地区:[1]电子科技大学医学院附属肿瘤医院放疗科,成都610041

出  处:《肿瘤代谢与营养电子杂志》2021年第3期225-231,共7页Electronic Journal of Metabolism and Nutrition of Cancer

Implementation and thinking of the first⁃line nutrition treatment in cancer patients

基  金:吴阶平医学基金会临床科研专项资助基金(320.6750.18170)。

摘  要:肿瘤患者营养不良制约肿瘤治疗及预后。10余年来,在国家的高度重视下,我国一大批学者开始关注肿瘤患者的营养问题,肿瘤营养学发展迅速,取得了显著进步。然而,我国肿瘤营养事业同时也面临着巨大挑战。营养一线治疗的观念虽然已经被越来越多的肿瘤学者接受,但真正的落实还存在许多的困难。本文针对我国肿瘤营养治疗的现况进行梳理,结合肿瘤营养一线治疗的临床实践经验,从系统构建肿瘤营养治疗的分级分类体系出发,建议制订精细化肿瘤营养治疗路径和指南,进一步完善临床营养工作制度,健全营养法规,同时明确营养治疗主体的职责范围,从而建立具有我国肿瘤患者特色的营养诊疗标准体系。本文还提倡推动我国的“医院-社区-家庭”营养管理模式和特殊医学用途配方食品和治疗膳食的规范化、细化和多样化,呼吁加大对肿瘤营养基础和临床研究的资金投入,从而提升肿瘤营养科研能力。

Malnutrition in cancer patients restricts the treatment and prognosis.In the past 10 years,with the great attention of our country,a large number of scholars in China began to pay attention to the nutrition therapy of cancer patients,and cancer nutrition developed rapidly and made remarkable progress.However,cancer nutrition in China is also facing great challenges.Although the concept of nutrition first⁃line treatment has been accepted by more and more oncologists,there are still many difficulties in its implementation.According to the current situation of nutrition treatment in cancer patients,combined with the clinical practice experience of the first⁃line nutrition treatment,starting from the systematic construction of the classification system of cancer nutrition treatment,this paper proposes to formulate refined treatment paths and guidelines,improve the clinical nutrition work system,improve nutrition laws and regulations,and clarify the responsibilities of nutrition treatment subjects,so as to establish a nutrition diagnosis and treatment standard system with the characteristics of cancer patients in China.It also advocates promoting the standardization,refinement and diversification of China′s"Hospital⁃Community⁃Home"nutrition management mode,food for special medical purpose and therapeutic diets for special medical purposes,and then calls for increasing investment in basic and clinical research of cancer nutrition,so as to enhance the research ability of cancer nutrition.

关 键 词:肿瘤 营养 一线治疗 

Cancer Nutrition First-line treatment 

分 类 号:R73[医药卫生—肿瘤]

 

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