摘要
食管癌是常见的消化道恶性肿瘤,放疗是其重要治疗手段,但放疗后患者常面临营养不良风险,严重影响预后。规范化营养干预能显著改善患者生活质量及治疗效果,但基层医疗机构因医疗资源不足、营养支持可及性低及患者认知差异,导致营养管理实施困难。目前国内缺乏基层医疗机构食管癌患者放疗后的统一规范,为此,专家组参考现有指南共识及国内外相关文献,联合制定本专家共识,核心推荐意见包括营养筛查与评估、营养教育、膳食管理、营养治疗、并发症处理、随访管理及运动康复,旨在为基层医疗机构提供食管癌放疗后营养管理的规范化指导。
Esophageal cancer is a common malignant tumor of the digestive tract,and radiotherapy is a key treatment modality.However,patients often face the risk of malnutrition after radiotherapy,which severely impacts prognosis.Standardized nutritional intervention can significantly improve patients’quality of life and treatment outcomes.Yet,in primary healthcare institutions,challenges such as insufficient medical resources,low accessibility of nutritional support,and varying patient awareness hinder effective nutritional management.Currently,there is a lack of unified guidelines for post-radiotherapy nutritional care for esophageal cancer patients in primaryhealthcare settings in China.To address this,an expert panel has developed this consensus document by referencing existing guidelines,consensus statements,and relevant domestic and international literature.The core recommendations including nutritional screening and assessment,nutritional education,dietary management,nutritional therapy,complication management,follow-up care,and exercise rehabilitation.This consensus aims to provide standardized guidance for nutritional management in esophageal cancer patients after radiotherapy in primary healthcare institutions.
出处
《肿瘤代谢与营养电子杂志》
2025年第5期554-566,共13页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
吴阶平医学基金会临床科研专项资助基金课题(320.6750.2021-02-21)
2022希思科—雀巢健康科学肿瘤营养科研基金项目青年课题(Y-NESTLE2022QN-0486)。
关键词
食管癌
放疗
营养管理
专家共识
基层医疗机构
Esophageal cancer
Radiotherapy
Nutritional intervention
Expert consensus
Primary healthcare institutions
