放疗相关并发症包括急性和晚期放疗并发症。 晚期放疗并发症造成肿瘤患者营养状况和生活质量下降,从而进一 步对肿瘤控制及生存造成不良影响。 因此,对发生晚期放疗并发症的患者进行合理规范的营养管理具有重要意义。 中国抗 癌协会肿瘤营养专业委员会、中华医学会放射肿瘤治疗学分会,中国医师协会放射肿瘤治疗医师分会组织多学科专家制订本 指南,以国内外循证医学证据为基础,采用德尔菲法形成专家推荐意见共识,并按照 GRADE 法对证据进行质量分级。 本指南 针对常见的放疗相关晚期并发症提出系统的营养管理指导,为相关临床人员提供循证规范和决策参考。

Radiation-induced sequelae include early and late sequelae. Late sequelae of radiotherapy result in reduced nutritional status and quality of life which further adversely affects tumor control and survival of oncology patients. Therefore providing appropriate and standardized nutritional management for patients who develop radiotherapy-induced late sequelae is important. Chinese Society of Nutritional Oncology China Society for Radiation Oncology and Radiation Oncology Physicians Branch of Chinese Medical Doctor Association had organized multidisciplinary experts to develop this evidence-based guideline using the Delphi method to form a consensus of expert recommendations and grading the quality of evidence according to the GRADE method. This guideline provides evidence-based advice on the systematic nutritional management of common radiotherapy-induced late sequela for relevant clinical staffs.