胃癌围手术期的营养评估及临床营养支持_West China Medical Journal

Authors：

杨平 ,  伍晓汀

Corresponding author：

伍晓汀, Email: yp29548928@163.com

Keywords：

营养评估; 营养风险; 临床营养支持; 胃癌; 围手术期

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【摘要】　胃癌住院患者营养不良发生率较高，其营养风险比例高。对胃癌患者围手术期营养情况的评定和监测十分重要，有助于改善患者临床结局，减少治疗花费。众多营养状况评估工具适用人群各不相同，应推广和应用基于证据的临床营养支持指南以改善临床营养支持存在不合理性状况。

Citation： 杨平,伍晓汀. 胃癌围手术期的营养评估及临床营养支持. West China Medical Journal, 2011, 26(5): 784-786. doi: Copy

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25.	Wise DR, Thompson CB. Glutamine addiction: a new therapeutic target in cancer[J]. Trends Biochem Sci, 2010, 35(8): 427-433.

1. 　Parkin DM, Ferlay J, Curado MP, et al. Fifty years of cancer incidence: CI5I-IX[J]. Int J Cancer, 2010, 127(12): 2918-2927.
2. 　Brenner H, Rothenbacher D, Arndt V. Epidemiology of stomach cancer[J]. Methods Mol Biol, 2009, 472(2): 467-477.
3. 　Wie GA, Cho YA, Kim SY, et al. Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea[J]. Nutrition, 2010, 26(3): 263-268.
4. 　梁晓坤, 蒋朱明, Nolan MT, 等. 北京教学医院普通外科住院患者营养风险、营养不足、超重、肥胖及营养支持状况[J]. 中华临床营养杂志, 2009, 17(2): 75-78.
5. 　Bozzetti F, Gavazzi C, Miceli R, et al. Perioperative total parenteral nutrition in malnourished, gastrointestinal cancer patients: a randomized, clinical trial[J]. JPEN J Parenter Enteral Nutr, 2000, 24(1): 7-14.
6. 　Warren S. The intermediate cause of death in cancer[J]. Am J Med Sci, 1932, 184(3): 610-15.
7. 　Ryan AM, Healy LA, Power DG, et al. Short-term nutritional implications of total gastrectomy for malignancy, and the impact of parenteral nutritional support[J]. Clin Nutr, 2007, 26(6): 718-727.
8. 　杨炯, 毕建威. 消化道肿瘤病人围手术期营养支持[J]. 肠外与肠内营养, 2006, 13(3): 184-187.
9. 　吴国豪. 营养支持在肿瘤治疗中的作用[J]. 中华普通外科杂志, 2007, 22(9): 720.
10. 　Kern KA, Norton JA. Cancer cachexia[J]. JPEN J Parenter Enteral Nutr, 1998, 12(3): 286-298.
11. 　Green SM, Watson R. Nutritional screening and assessment tools for use by nurses: literature review[J]. J Adv Nurs, 2005, 50(1): 69-83.
12. 　Buzby GP, Mullen JL, Matthews DC, et al. Prognostic nutritional index in gastrointestinal surgery[J]. Am J Surg, 1980, 139(1): 160-167.
13. 　Callen B. Understanding nutritional health in older adults: a pilot study[J]. Gerontol Nurs, 2004, 30(1): 36-43.
14. 　蒋朱明, 蔡威. 临床肠外与肠内营养[M]. 北京: 科学技术文献出版社, 2000: 174-196.
15. 　Guigoz Y, Vellas BJ, Garry PJ. Mini nutritional assessment: a practical assessment tool for grading the nutritional state of elderly patients[J]. Facts Res Gerontonol, 1994, 4(Suppl 2): 15-59.
16. 　Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
17. 　中华医学会. 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: 16-62.
18. 　Veterans Affairs Total Parenteral Nutrition Co-operative Study Group. Perioperative total parenteral nutrition in surgical patients[J]. N Engl J Med, 1991, 325(Suppl 2): 525-532.
19. 　Braga M, Ljungqvist O, Soeters P, et al. ESPEN guidelines on parenteral nutrition: surgery[J]. Clin Nutr, 2009, 28(4): 378-386.
20. 　Bozzetti F, Gavazzi C, Cozzaglio L, et al. Total parenteral nutrition and tumor growth in malnourished patients with gastric cancer[J]. Tumori, 1999, 85(3): 163-166.
21. 　Al Samaraee A, McCallum IJ, Coyne PE, et al. Nutritional strategies in severe acute pancreatitis: a systematic review of the evidence[J]. Surgeon, 2010, 8(2): 105-110.
22. 　Klek S. Immunonutrition in cancer patients[J]. Nutrition, 2011, 27(2): 144-145.
23. 　Oh DY, Talukdar S, Bae EJ, et al. GPR120 is an omega-3 fatty acid receptor mediating potent anti-inflammatory and insulin-sensitizing effects[J]. Cell, 2010, 142(5): 687-698.
24. 　Mudge L, Isenring E, Jamieson GG. Immunonutrition in patients undergoing esophageal cancer resection[J]. Dis Esophagus, 2011, 24(3): 160-165.
25. 　Wise DR, Thompson CB. Glutamine addiction: a new therapeutic target in cancer[J]. Trends Biochem Sci, 2010, 35(8): 427-433.

West China Medical Journal

胃癌围手术期的营养评估及临床营养支持

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