肝癌患者围手术期营养诊断和支持策略的进展。

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Xiao-Qin Li, Yun Liang, Chen-Feng Huang, Sui-Ning Li, Lei Cheng, Chuan You, Yao-Xia Liu, Tao Wang
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引用次数: 0

摘要

肝癌是一种严重的肝病,是全球关注的重大健康问题。手术切除仍是肝癌的主要治疗方式。然而,围手术期营养不良对肝癌患者的影响非常明显,是导致患者死亡和不良预后的独立风险因素。因此,精确的营养诊断和及时的营养支持有可能提高肝癌患者的治疗效果和生活质量。本研究从 PubMed、Web of Science 和 EMBASE 数据库中提取数据,以过去 5 年为重点,对文献进行了细致的研究。它仔细研究了营养不良对肝癌手术患者的影响、这类患者营养不良的病因、围手术期营养状况的关键评估以及营养支持的策略方法。作者采用严格的纳入和排除标准,对所收集的学术著作进行了细致的归纳、有条不紊的组织和分类阐述。最后,作者建议在围手术期组建一个多学科营养管理团队,由营养学家、药剂师、医生、护士、心理学家和康复治疗师等专业人员组成。他们共同合作,制定并实施个性化的营养支持计划,监测患者的营养状况,并根据需要做出必要的调整。通过综合管理和干预,可以改善肝癌患者的营养状况,从而提高手术成功率,促进术后恢复。相信这篇手稿将为推进肝癌围手术期的营养管理提供有价值的见解,有助于改善患者的营养状况和治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancements in nutritional diagnosis and support strategies during the perioperative period for patients with liver cancer.

Liver cancer represents a grave hepatic condition and constitutes a significant global health concern. Surgical resection remains the principal therapeutic modality for liver cancer. Nevertheless, perioperative malnutrition exerts a notable impact on patients with liver cancer, emerging as an independent risk factor for disease mortality and adverse outcomes. Hence, precise nutritional diagnosis and timely nutritional support hold the potential to enhance therapeutic efficacy and quality of life for liver cancer patients. This study represents a meticulous foray into the literature, extracting data from PubMed, Web of Science, and EMBASE databases, with a focus on the past 5 years. It scrutinizes the impact of malnutrition on patients undergoing liver cancer surgery, the etiological underpinnings of malnutrition within this patient cohort, the critical assessment of perioperative nutritional status, and the strategic approaches to nutritional support. Utilizing rigorous inclusion and exclusion criteria, the amassed scholarly works are meticulously synthesized, methodically organized, and categorically elaborated upon. Ultimately, the authors propose the incorporation of a multidisciplinary nutrition management team during the perioperative period, comprising nutritionists, pharmacists, physicians, nurses, psychologists, and rehabilitation therapists, among other specialized professionals. Together, they collaborate to devise and implement personalized nutritional support plans, monitor patients' nutritional status, and make necessary adjustments as required. Through comprehensive management and intervention, improvements in the nutritional status of liver cancer patients can be achieved, thereby enhancing surgical success rates and facilitating postoperative recovery. It is believed that this manuscript will offer valuable insights to advance the nutritional management during the perioperative phase of liver cancer, aiding in ameliorating patients' nutritional status and treatment outcomes.

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