放疗营养规范化管理专家共识

doi:10.3760/cma.j.cn113030-20191212-00002

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摘要恶性肿瘤患者约有40%~80%存在营养相关问题,而营养不良对放射肿瘤患者治疗和预后具有不良影响。医学营养疗法是帮助解决放疗肿瘤患者营养不良的方法,对改善患者机体营养状况、提高肿瘤综合治疗效果有着重要意义。放疗患者在围放疗期应进行全程营养管理,放疗前、放疗中和放疗后使用营养风险筛查量表进行筛查,必要时使用患者自评-主观全面评定量表进行评定,并结合RTOG急性和晚期放射损伤分级进行规范化个体化营养支持。本共识就放疗患者的营养支持流程进行了补充和细化,结合肿瘤营养指南进一步对肿瘤放疗营养规范化管理流程和标准进行探讨,为肿瘤放疗临床工作者开展规范化营养支持提供规范和参考。

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	中华医学会放射肿瘤治疗学分会

关键词 ：肿瘤/放射疗法, 营养管理, 营养支持, 共识

Abstract：About 40%-80% of patients with malignant tumors have nutrition-related problems, and malnutrition produces adverse effects on the treatment and prognoses of patients receiving radiotherapy. Medical nutrition therapy aims to help solve the malnutrition of tumor patients undergoing radiotherapy, which is of great significance to improve the nutritional status of patients and promote the comprehensive treatment effect of cancer. Patients receiving radiotherapy should be offered whole-course nutrition management during the peri-radiation period. Before, during, and after radiotherapy, NRS-2002 is utilized for nutritional risk screening;PG-SGA is employed for nutritional assessment when necessary;and standardized individualized nutritional support is provided in combination with RTOG acute and late radiation injury grading. This consensus supplemented and refined the nutritional support process for patients receiving radiotherapy, further discussed the standardized management process and standards of nutrition for radiotherapy in combination with guidelines on nutrition in cancer patients, so as to provided standards and reference for clinicians of oncology radiotherapy to develop standardized nutritional support.

Key words： Tumor/radiotherapy Nutrition management Nutritional support Consensus

收稿日期: 2019-12-12

通讯作者: 王绿化,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院放疗科 100021;国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院,深圳 518116;Email:wlhwq@yahoo.com

引用本文:

中华医学会放射肿瘤治疗学分会. 放疗营养规范化管理专家共识[J]. 中华放射肿瘤学杂志, 2020, 29(5): 324-331.

Branch of Radiation Oncology of Chinese Medical Association. Expert consensus on standardized management of radiotherapy nutrition[J]. Chinese Journal of Radiation Oncology, 2020, 29(5): 324-331.

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http://journal12.magtechjournal.com/Jweb_fszlx/CN/10.3760/cma.j.cn113030-20191212-00002 或 http://journal12.magtechjournal.com/Jweb_fszlx/CN/Y2020/V29/I5/324

[1] 中华医学会放射肿瘤治疗学分会. 肿瘤放疗患者口服营养补充专家共识(2017)[J]. 中华放射肿瘤学杂志, 2017, 26(11):1239. DOI:10.3760/cma.j.issn.1004-4221.2017.11.001.
China Society for Radiation Oncology. Oral nutrition supplements consensus for cancer undergoing radiotherapy (2017)[J]. Chin J Radiat Oncol, 2017, 26(11):1239. DOI:10.3760/cma.j.issn.1004-4221.2017.11.001.
[2] 李涛,吕家华,郎锦义,等. 恶性肿瘤放疗患者肠内营养专家共识[J]. 肿瘤代谢与营养电子杂志, 2017, 4(3):272-279. DOI:10.16689/j.cnki.cn11-9349/r.2017.03.006.
Li T, Lyu JH, Lang JY, et al. The enteral nutrition in radiotherapeutic cancer patients[J]. Elec J Metab Nutr Cancer, 2017, 4(3):272-279. DOI:10.16689/j.cnki.cn11-9349/r.2017.03.006.
[3] 杨桦. 规范化围术期营养支持治疗的策略[J]. 中华消化外科杂志, 2015, 14(5):358-360. DOI:10.3760/cma.j.issn.1673-9752.2015.05.002.
Yang H. Strategy of standardized nutritional support therapy in the perioperative period[J]. Chin J Dig Surg, 2015, 14(5):358-360. DOI:10.3760/cma.j.issn.1673-9752.2015.05.002.
[4] 石汉平,赵青川,王昆华,等. 营养不良的三级诊断[J]. 中国癌症防治杂志, 2015, 7(5):313-319.
Shi HP, Zhao QC, Wang KH, et al. Three steps to diagnose malnutrition[J]. Chin J Oncol Prev Treat, 2015, 7(5):313-319.
[5] Cox JD, Stetz J, Pajak TF. Toxicity criteria of radiotherapy tumor group (RTOG) and European Organization for research and treatment of cancer (EORTC)[J]. Int J Radiat Oncol Biol Phys, 1995, 31(5):1341-1346. DOI:10.1016/0360-3016(95)00060-C.
[6] 中国抗癌协会. 中国肿瘤营养治疗指南[M]. 北京:人民卫生出版社, 2015.
Chinese Anti-Cancer Association. Chinese Nutrition Therapy Guidelines for Cancer Patients[M]. Beijing:People′s medical publishing house Co., LTD, 2015.
[7] Arends J, Bachmann P, Baracos V, et al. ESPEN guidelines on nutrition in cancer patients[J]. Clin Nutr, 2017, 36(1):11-48. DOI:10.1016/j.clnu.2016.07.015.
[8] Kondrup J, Rasmussen H, 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. DOI:10.1016/S0261-5614(02)00214-5.
[9] CSCO肿瘤营养治疗专家委员会. 恶性肿瘤患者的营养治疗专家共识[J]. 临床肿瘤学杂志, 2012, 17(1):59-73. DOI:10.3969/j.issn.1009-0460.2012.01.013.
Chinese Society of Clinical Oncology. Expert consensus on nutrition therapy in cancer patients[J]. Chin Clin Oncol, 2012, 17(1):59-73. DOI:10.3969/j.issn.1009-0460.2012.01.013.
[10] 石汉平, 许红霞, 李苏宜, 等. 营养不良的五阶梯治疗[J]. 肿瘤代谢与营养电子杂志, 2015, 2(1):29-33.
Shi HP, Xu HX, Li SY, et al. Five steps to treat malnutrition[J]. Elec J Metab Nutr Cancer, 2015, 2(1):29-33.
[11] 中华医学会肠外肠内营养学分会. 成人口服营养补充专家共识[J]. 中华胃肠外科杂志,2017, 20(4):361-365. DOI:10.3760/cma.j.issn.1671-0274.2017.04.001.
Chinese Society for Parenteral and Enteral Nutrition. Oral nutrition supplements for adult[J]. Chin J Gastrointest Surg, 2017, 20(4):361-365. DOI:10.3760/cma.j.issn.1671-0274.2017.04.001.
[12] 李涛,吕家华,郎锦义,等. 恶性肿瘤放疗患者营养治疗专家共识[J]. 肿瘤代谢与营养电子杂志, 2018, 5(4):358-365. DOI:10.16689/j.cnki.cn11-9349/r.2018.04.006.
Li T, Lyu JH, Lang JY, et al. Expert consensus on nutrition therapy in cancer patients receiving radiotherapy[J]. Elec J Metab Nutr Cancer, 2018, 5(4):358-365. DOI:10.16689/j.cnki.cn11-9349/r.2018.04.006.
[13] 中国营养学会肿瘤营养工作组. 恶性肿瘤患者康复期营养管理专家共识[J]. 营养学报, 2017(4):321-326. DOI:10.13325/j.cnki.acta.nutr.sin.2017.04.003.
Cancer Nutrition Working Group of Chinese Nutrition Society. Expert consensus on nutrition management in convalescent cancer patients[J]. Acta Nutrimenta Sinica, 2017(4):321-326. DOI:10.13325/j.cnki.acta.nutr.sin.2017.04.003.
[14] 石汉平, 李增宁, 王昆华, 等. 营养管理新模式——HCH[J]. 肿瘤代谢与营养电子杂志, 2015,(3):23-26.
Shi HP, Li ZN, Wang KH, et al. New model of nutrition managerment-HCH[J]. Elec J Metab Nutr Cancer, 2015,(3):23-26.
[15] National Collaborating Centre for Acute Care. Nutrition support for adults:oral nutrition support, enteral tube feeding and parenteral nutrition[M]. London:National Institute for Health and Care Excellence (UK), 2006.