胃癌是世界第五大最常见的癌症,化疗是主要治疗方法之一,由于化疗药物导致的不良反应,约87%的患者合并营养不良。虽然营养治疗理念不断推进,仍然缺乏足够的重视,导致胃癌患者营养不良的治愈率较低。营养不良作为胃癌患者独立的死亡风险因素,不仅导致不良临床结局,还会造成巨大的社会经济负担。文章总结了近年来胃癌化疗患者的营养支持治疗,包括对营养评估工具的选择、营养治疗的方法及效果,并对未来普遍应用于临床进行展望。 Gastric cancer is the fifth most common cancer in the world, and chemotherapy is one of its main treatments. However, due to the side effects of chemotherapy drugs, about 87% of patients have malnutrition. Although the concept of nutrition therapy continues to advance, it still lacks sufficient attention, resulting in a low cure rate of malnutrition in gastric cancer patients. As an independent risk factor of death for gastric cancer patients, malnutrition not only leads to poor clinical outcomes, but also causes a huge social and economic burden. This review summarized the nutritional support treatment of gastric cancer patients undergoing chemotherapy in recent years, including the selection of nutrition evaluation tools, methods and effects of nutritional treatment, and made a prospect for its widespread clinical application in the future.
Abstract
Gastric cancer is the fifth most common cancer in the world, and chemotherapy is one of its main treatments. However, due to the side effects of chemotherapy drugs, about 87% of patients have malnutrition. Although the concept of nutrition therapy continues to advance, it still lacks sufficient attention, resulting in a low cure rate of malnutrition in gastric cancer patients. As an independent risk factor of death for gastric cancer patients, malnutrition not only leads to poor clinical outcomes, but also causes a huge social and economic burden. This review summarized the nutritional support treatment of gastric cancer patients undergoing chemotherapy in recent years, including the selection of nutrition evaluation tools, methods and effects of nutritional treatment, and made a prospect for its widespread clinical application in the future.