摘要
目前全球消化系统恶性肿瘤约占所有恶性肿瘤新发病例数的1/3,是一项重要的公共卫生负担。消化系统恶性肿瘤患病率紧随肺癌之后,已成为我国患肿瘤人群的第二大杀手。该类患者往往存在较高的营养不良发生率,已成为世界范围内普遍存在的问题。营养不良是一个连续的过程,患者住院期间发生的营养不良易被忽视,近年来一系列研究均表明,营养不良对手术本身及术后切口愈合均有不利影响,患者临床结局不良。营养不良重点在于早发现、早干预,因此及时评估消化系统恶性肿瘤患者的营养状况,具有十分重要的意义。该综述介绍了营养不良的定义及诊断,阐述了消化系统恶性肿瘤患者营养不良发生率、原因及其后果,重点述评国内外常用的营养评估方法、特点、应用现状以及国外对拇内收肌厚度营养评估法的研究。
The incidence of malignant tumors of digestive system have accounted for about 1/3 of all malignant tumorsso far, and become an enormous public health burden. Following lung cancer, digestive system malignancies have become thesecond leading cause of death due to cancer. Patients suffering from digestive system malignancies frequently have complicationcharacterized by malnutrition, which have become a worldwide problem. Malnutrition is a continuous process which is easily ignoredduring hospitalization. Recently, accumulated studies have suggested that malnutrition had negative effects on both operation processand post-operation healing, which mainly attributed to poor clinical outcome. Considering the therapeutic strategy of malnutritionwhich includes early detection and intervention, it is of great importance to evaluate the nutritional status of patients with malignanttumors of digestive system in time. The review first introduced the definition and diagnosis of malnutrition followed by theelucidation of prevalence, causes and effects of malnutrition for patients with malignant tumor of digestive system. More importantlythe review focused on elaboration of studies about malnutrition evaluation in methods, character and application status, as well asthe summarizing the reports on APMT. This review introduces the definition and diagnosis of malnutrition , and made a comment onthe prevalence and causes and effects of the malnutrition for patients with malignant tumor of digestive system and the character andsituation of the application with the common nutritional assessment methods home and aboard. And it also introduces the assessmentof the thickness of adductor pollicis muscle from abroad.
出处
《肿瘤代谢与营养电子杂志》
2017年第4期489-492,共4页
Electronic Journal of Metabolism and Nutrition of Cancer
关键词
消化系统
恶性肿瘤
营养不良
营养评估
拇内收肌
Digestive system
Malignant tumor
Malnutrition
Nutritional assessment
Adductor pollicis muscle
