结直肠癌作为第三大常见恶性肿瘤,有着高发病率和高致死率的特点。 化疗是除手术、放疗、免疫及靶向治疗以外 的重要治疗手段,在发挥治疗作用的同时会产生一系列不良反应,影响营养状况,甚至导致营养不良,营养不良又将降低化疗 耐受性,甚至严重影响患者的生活质量,缩短生存时间。 近年来,营养治疗已成为肿瘤综合治疗的重要组成部分之一,与患者 的营养状况、治疗效果及化疗相关不良反应等生存预后密切相关。 临床工作者对营养管理进行了积极探索,以理论为基础、 以患者为主导、以医护人员为主导的多种营养管理模式显现成效,对结直肠癌化疗患者的营养状况和肿瘤预后都产生了积极 影响。 因此,本文结合近年来国内外研究进展,对结直肠癌化疗患者的营养管理模式进行综述,以期为临床、科研及管理工作 提供参考依据。

As the third most common malignant tumor colorectal cancer is characterized by high incidence and high mortality rate. Chemotherapy is an important treatment in addition to surgery radiotherapy immunotherapy and targeted therapy which can produce a series of adverse effects while playing a therapeutic role affecting nutritional status and even leading to malnutrition which in turn will reduce the tolerance of chemotherapy and even seriously affect the quality of life and survival time of patients. In recent years nutrition therapy has become one of the important components of comprehensive cancer treatment which is closely related to patients' nutritional status treatment effect chemotherapy related adverse reactions and other survival prognosis. Clinical workers have actively explored nutritional management and various nutritional management patterns based on theory patient - led and medical staff-led have shown results which have a positive impact on the nutritional status and tumor prognosis of patients undergoing chemotherapy for colorectal cancer. This paper combines the recent progress of domestic and international research with the results of the study on the nutritional management of colorectal cancer patients. Therefore this paper reviews the nutritional management patterns for patients undergoing chemotherapy for colorectal cancer taking into account the research progress at home and abroad in recent years in order to provide a reference basis for clinical scientific research and management.