晚期肿瘤患者家庭肠内营养治疗进展

白倩; 王建

doi:10.16689/j.cnki.cn11-9349/r.2020.03.003

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肿瘤代谢与营养电子杂志 ›› 2020, Vol. 7 ›› Issue (3) : 263-266. DOI: 10.16689/j.cnki.cn11-9349/r.2020.03.003

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晚期肿瘤患者家庭肠内营养治疗进展

白倩，王建

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Progress in home enteral nutrition on advanced cancer patients

Bai Qian, Wang Jian

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摘要

营养不良为肿瘤患者最常见的并发症及致死因素，在晚期肿瘤患者中更为多见。由于住院时间缩短，治疗方式及目标改变，越来越多的患者选择在家庭中接受营养治疗，合理、有效地家庭营养治疗对改善晚期肿瘤患者的预后及生活质量具有积极作用，其中家庭肠内营养由于简便、安全成为晚期肿瘤患者家庭营养治疗首选的应用方式。规范的家庭肠内营养能够有效降低患者营养不良的发生率，不仅有助于改善和维持患者营养状况，提高生活质量，而且能够满足其生理、心理需要，避免了长期住院，有利于节省医疗费用，有明显的社会效益。然而，家庭肠内营养实施目前仍面临着多方面的挑战，包括肠内喂养装置、肠内营养配方组分、实践创新、医疗保障等。目前亟待探索规范、安全、可靠的管理实施方式来实现家庭肠内营养治疗，为建立规范的晚期肿瘤患者的家庭肠内营养模式提供思路。

Abstract

Malnutrition is the most common complication and death factor in cancer patients, especially in advanced cancer patients. Due to the shortened length of hospital stay, changes in treatment methods and objectives, home nutrition support is widely accepted by patients. Reasonable and effective home nutrition therapy has a positive effect on improving the prognosis and quality of life of patients with advanced cancer. Meanwhile, home enteral nutrition has become the preferred method of home nutrition therapy for patients with advanced cancer due to its simplicity and safety. Standardized home enteral nutrition can effectively reduce the incidence of malnutrition, not only help to improve and to maintain the nutritional status of patients, to improve the quality of life, but also can meet their physiological and psychological needs, avoid long-term hospitalization. There are obvious social benefits in saving medical costs. However, the application of home enteral nutrition is undergoing challenges including enteral feeding devices, enteral nutrition formula components, practice innovation, and medical care. At present, it is urgent to explore a standardized, safe and reliable management implementation to achieve home enteral nutrition support and provide ideas for the establishment of a standardized home enteral nutrition model for patients with advanced cancer.

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白倩，王建. 晚期肿瘤患者家庭肠内营养治疗进展[J]. 肿瘤代谢与营养电子杂志. 2020, 7(3): 263-266 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.03.003

Bai Qian, Wang Jian. Progress in home enteral nutrition on advanced cancer patients[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2020, 7(3): 263-266 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.03.003

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