摘要
肿瘤患者营养不良发生率高,其原因复杂,与食物摄入不足、肿瘤消耗增加、抗肿瘤治疗的影响以及其他因素等相关,隶属于中医“虚劳”范畴。营养支持应贯穿整个肿瘤治疗周期,尤其是姑息治疗期间。肿瘤患者的西医营养供给方式存在重叠和过渡,遵循五阶梯营养治疗原则;中医治疗遵循病因病机进行辨证论治。中西医结合营养疗法为肿瘤患者姑息治疗期间个性化综合营养支持提供新思路,也更适合当前的临床实践发展需求。
The incidence of malnutrition in tumor patients is high,and the causes are multifaceted.It is attributed to factors such as inadequate food intake,increased tumor consumption,the effects of anti-tumor treatment,and other factors,belonging to the category of"consumptive disease"in traditional Chinese medicine.Nutritional support should be consistently provided throughout the entire tumor treatment process,particularly during palliative care.Western medicine nutrition supply methods for cancer patients have the phenomena of overlap and transition,and follow stepped-care for malnutrition;Traditional Chinese medicine treatment follows the differential treatment of etiology and pathogenesis.The combination of traditional Chinese and Western medicine nutritional therapy provides new ideas for personalized comprehensive nutrition support for tumor patients during palliative care,and is more suitable for the current clinical practice development needs.
作者
苑思羽
侯俊杰
张片红
YUAN Siyu;HOU Junjie;ZHANG Pianhong(The Second Hospital Affiliated to School of Medicine,Zhejiang University,Hangzhou 310000,China;Jilin Province People's Hospital,Changchun 130021,China)
出处
《长春中医药大学学报》
2023年第12期1412-1417,共6页
Journal of Changchun University of Chinese Medicine
基金
吉林省科技发展计划项目(20230402007GH)。
关键词
肿瘤
姑息治疗
营养不良
营养疗法
人工营养
中医中药
tumor
palliative care
malnutrition
nutritional therapy
artificial nutrition
traditional Chinese medicine
作者简介
苑思羽(1994-),女,硕士,主要从事肿瘤营养相关研究;通信作者:张片红,男,主任医师,电子信箱-zrlcyyzx@zju.edu.cn。