肿瘤患者营养不良发生率高、后果严重，约20%的恶性肿瘤患者直接死于营养不良。以“营养筛查—评估—诊断—治疗”为基础的规范化临床营养诊疗路径，是及时筛查肿瘤患者营养风险、精准诊断营养不良的基本措施，也是科学合理营养治疗、改善肿瘤患者临床结局的基础保障。肿瘤营养诊疗系统是以规范化临床营养诊疗路径为核心，集营养风险筛查、全面营养评估、智能营养诊断和个性化营养治疗为一体的营养诊疗设备。通过肿瘤营养诊疗系统的应用，可实现规范化营养诊疗路径与流程；获取完整的肿瘤营养数据信息，并实现实时共享；有助于提升工作效率，对建设规范化肿瘤营养治疗示范病房具有重要意义。
The incidence of malnutrition in cancer patients is high and have a negative effect on clinical outcome, which causes about 20% of malignant tumor patients directly die from malnutrition. Based on “screening-assessment-diagnosis-intervention”, a standardized nutrition care process should be addressed and applied at each institution involved in treating cancer patients, which is a basic measure for timely nutritional risk screening and accurate diagnosis of malnutrition. It is also the basic guarantee for applying scientific and rational nutritional treatment and improving the clinical outcome of cancer patients. The cancer nutrition diagnosis and intervention system is an equipment that integrates nutrition risk screening, comprehensive nutrition assessment, intelligent nutrition diagnosis and personalized nutrition therapy with the core of standardized nutrition care process. By the application of this system, the standardized nutrition diagnosis and intervention pathway can be realized；the complete nutrition-related data information can be obtained and shared in real-time；the efficiency of operations can be improved, which are significant to establish standardized nutrition care demonstration wards.
1.PAULA R. Nutrition in cancer patients［J］. J Clin Med, 2019, 8:1211.
2.中国抗癌协会.化疗患者营养治疗指南［J］.肿瘤代谢与营养电子杂志, 2016, 3(3):158-163.
3.SORENSEN J, KONDRUP J, PROKOPOWICZ J, et al. EuroOOPS: an international, multicentre study to implement nutritional risk screening and evaluate clinical outcome［J］. Clin Nutr, 2008, 27(3):340-349.
4.ARENDS J, BODOKY G, BOZZETTI F, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology［J］. Clin Nutr, 2006, 25(2):245-259.
5.BOZZETTI F, ARENDS J, LUNDHOLM K, et al. ESPEN guidelines on parenteral nutrition: non-surgical oncology［J］. Clin Nutr, 2009, 28(4):445-454.
6.ARENDS J, BACHMANN P, BARACOS V, et al. ESPEN guidelines on nutrition in cancer patients［J］. Clin Nutr, 2017, 36(1):11-48.
7.石汉平, 赵青川, 王昆华, 等. 营养不良的三级诊断［J］. 肿瘤代谢与营养电子杂志, 2015, 2(2):31-36.
8.CEDERHOLM T, BARAZZONI R, AUSTIN P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition［J］. Clin Nutr, 2017, 36(1):49-64.
9.JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. Comprehensive accreditation manual for hospitals［R］. Chicago:Joint Commission on Accreditation of Healthcare Organizations, 2007.
10.蒋朱明.临床诊疗指南肠外肠内营养学分册(2008版)［M］.北京:人民卫生出版社, 2009.
11.王昌平,陈德,黄小明. 恶性肿瘤患者营养不良发生率调查及诊断指标探讨［J］.安徽医药, 2016, 20(12):2273-2276.
12.ROBINSON D, WALKER R, ADAMS S, et al. American Society for Parenteral and Enteral Nutrition (ASPEN) definition of terms, style, and conventions used in ASPEN Board of Directors-Approved Documents［R］. Silver Spring:American Society for Parenteral and Enteral Nutrition, 2018.
13.中华医学会肠外肠内营养学分会.肿瘤患者营养支持指南［J］.中华外科杂志, 2017, 55(11):801-829.
14.OTTERY F D. Rethinking nutritional support of the cancer patient: the new field of nutritional oncology［J］. Semin Oncol, 1994, 21(6):770-778.
15.丛明华, 石汉平. 肿瘤患者简明膳调自评工具的发明［J］. 肿瘤代谢与营养电子杂志, 2018, 5(1):11-13.
16.石汉平, 陈伟, 杨柳青,等. 建设“无饿医院”［J］. 肿瘤代谢与营养电子杂志, 2018, 5(3):225-230.
17.石汉平. 营养治疗的疗效评价［J］. 肿瘤代谢与营养电子杂志, 2017, 4(4):364-370.
18.CHOI M H, OH S N, LEE I K, et al. Sarcopenia is negatively associated with long-term outcomes in locally advanced rectal cancer［J］. J Cachexia Sarcopenia Muscle, 2018, 9:53-59.
19.周雪, 邓颖. 肿瘤患者营养风险和营养支持现状及营养相关生化指标分析［J］. 现代预防医学, 2019, 46(5):820-823.
20.TRUMBO P, SCHLICKER S, YATES A A, et al. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids［J］. J Am Diet Assoc, 2002, 102(11):1621-1630.
21.陈博, 熊茂明, 孟翔凌. 重视肿瘤患者的营养支持治疗［J］. 肿瘤, 2016, 36:705-710.
22.石汉平, 许红霞, 李苏宜. 营养不良的五阶梯治疗［J］. 肿瘤代谢与营养电子杂志, 2015, 2(1):29-33.
23.李涛, 吕家华, 郞锦义. 恶性肿瘤放疗患者营养治疗专家共识［J］. 肿瘤代谢与营养电子杂志, 2018, 5(4):358-365.
24.石汉平, 李薇, 陈公琰, 等. 肿瘤恶液质［M］. 北京:人民卫生出版社, 2015.
25.方玉. 肿瘤患者家庭营养指导手册［M］. 北京:北京大学医学出版社, 2018.
26.EDA K, UZER K, MURAT T, et al. The effects of enteral glutamine on radiotherapy induced dermatitis in breast cancer［J］. Clin Nutr, 2016, 35(2):436-439.
27.李昱瑛,方玉,李薇. 肿瘤相关性贫血的治疗［J］. 肿瘤代谢与营养电子杂志, 2018, 5(3):320-323.
28.BOUSIE E, BLOKLAND D, ZANTEN A. Effects of implementation of a computerized nutritional protocol in mechanically ventilated critically ill patients: A single-centre before and after study［J］. Clin Nutr ESPEN, 2016, 11:e47-e54.
29.BERGER MM, REVELLY JP, WASSERFALLEN JB, et al. Impact of a computerized information system on quality of nutritional support in the ICU［J］. Nutrition, 2006, 22(3):221-229.
30.SINGER P, COHEN J. How could we make nutrition in the intensive care unit simple［J］? Rev Bras Ter Intensiva, 2016, 28(4):369-372.
