营养影响症状(NIS)是一组可以影响患者营养状况的临床症状的统称,NIS 关注症状对食物摄入和营养状况的影 响。 肿瘤本身和/ 或相关治疗都有可能影响食物的消化吸收过程,导致恶心、呕吐、腹痛、腹泻等一系列 NIS 发生。 肿瘤患者出 现一个或多个 NIS 的比例高达 64%,出现摄食减少,造成能量和/ 或蛋白质、微量营养素摄入不足,进而导致体重下降及机体 整体功能障碍,最终引发相关并发症,不利于疾病的预后和临床结局。 本文聚焦肿瘤患者消化系统九大常见 NIS,从营养治疗 角度提出指导建议,为临床治疗提供依据。

Nutrition impact symptoms NIS encompass a series of clinical symptoms that can negatively affect the nutritional status of patients by impairing food intake and nutritional status. Cancer itself and / or related treatments can impact food digestion and absorption leading to NIS including nausea vomiting abdominal pain and diarrhea. The incidence of one or more NIS in cancer patients can be as high as 64% resulting in reduced food intake and deficiencies in energy protein and micronutrients. This in turn leads to weight loss and overall functional impairment ultimately triggering nutrition-related complications that negatively affect disease prognosis and clinical outcomes. This article focuses on nine common NIS associated with the digestive system in cancer patients and provides guidance and recommendations from a nutritional therapy perspective to support clinical treatment.