恶性肿瘤患者康复期营养管理专家共识(2023版)  

Consensus of nutritional management for survivors of malignant tumor(2023)

作　　者：李融融[1] 于康[1] 中国营养学会肿瘤营养管理分会 Li Rongrong;Yu Kang;Nutrition Oncology Branch of Chinese Nutrition Society(Department of Clinical Nutrition,Peking Union Medical College Hospital(PUMCH),Beijing 100730,China;不详)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院临床营养科,100730 [2]不详

出　　处：《中华临床营养杂志》2023年第2期65-73,共9页Chinese Journal of Clinical Nutrition

基　　金：国家重点研发计划项目(2022YFF1100600/2022YFF1100604)。

摘　　要：合理的营养管理是肿瘤康复期患者长期随诊管理的重要内容,其有助于降低代谢并发症的发生风险,改善患者对健康生活方式的认知、信念及行为实践,促进患者改善生活方式及营养膳食,从而积极影响疾病的治疗与长期预后。为改善中国肿瘤康复期患者的长期管理,减少医疗成本,提高患者生活质量和生存率,最大限度地改善临床获益及患者预后,中国营养学会肿瘤营养管理分会组织专家制订了该共识。内容主要根据我国肿瘤患者管理及营养诊疗现状、国内外发表的循证医学证据,结合临床、营养等领域的专家经验和意见,采用牛津循证医学中心分级标准,围绕肿瘤患者康复期营养风险筛查、营养评定(诊断)、肠外肠内营养支持及医学膳食管理的原则、方法和标准等方面制订推荐意见,旨在为肿瘤患者康复期的规范化营养管理提供依据。Reasonable nutrition management is important in the long-term care of cancer survivors.It can contribute to reducing the risk of metabolic complications,improving patients'understanding,beliefs,and behavior as regards healthy lifestyles,promoting lifestyle and dietary changes,and positively impacting disease treatment and long-term prognosis.To improve the long-term management of Chinese cancer survivors,reduce medical costs,and maximize clinical benefits and patient outcomes,the Cancer Nutrition Branch of the Chinese Nutrition Society has developed this consensus based on the current cancer patient management and nutritional therapy in China,evidence-based medicine from domestic and foreign publications,as well as expert opinions and experiences in clinical and nutritional fields.Following the Oxford Centre for Evidence-based Medicine(OCEBM)grading system,this consensus provides recommendations for nutritional risk screening,assessment(diagnosis),enteral and parenteral nutrition support,and medical nutrition therapy for cancer survivors,aiming to inform and support the standardized nutritional management of cancer survivors.

关 键 词：恶性肿瘤 康复期 营养风险筛查 营养诊断 营养支持 

分 类 号：R730.5[医药卫生—肿瘤] R459.3[医药卫生—临床医学]