There are still some controversies about nutritional support for patients with malignant tumors, mainly on whether patients with malignant tumors need nutritional support, how to determine the target of nutritional support, the time limit, route, and preparation selection of nutritional support, etc. The purpose of nutritional support is not to treat cancer, but to improve malnutrition and cachexia and improve the body's tolerance to treatment. Aiming to improve patient survival rate The energy and matrix provided during nutritional therapy can be divided into three situations: Tumor-bearing status The principle of nutritional therapy is to maintain the patient's positive nitrogen balance. Early postoperative period for cancer patients The body is in a state of stress, and nutritional therapy should be implemented according to the principles of stressed patients. Tumor-free state It means that the tumor has been cured and the factors causing metabolic disorders have been eliminated. Nutritional therapy should be implemented according to the principle of hunger state. Cancer nutritional support should follow the following principles Cancer patients who are severely malnourished or who are expected to have insufficient diet for more than one week due to gastrointestinal disorders and other metabolic, medication, radiotherapy and other factors. Patients who are well nourished or only mildly malnourished and whose natural diet is expected to be adequate do not require special nutritional support. Total parenteral nutrition support is of no benefit to patients with advanced cancer who are refractory to chemotherapy and radiotherapy. If the effects on food intake are expected to last for more than 1 week, and chemotherapy and radiotherapy cannot be interrupted, or even if they are interrupted, adequate diet cannot be restored for a long time, nutritional support should be given. |
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