ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-050 检验与方法 2026, 2(07): 197-200

消化道肿瘤患者营养支持与管理模式的最佳证据总结

常州市第一人民医院

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摘要

目的 评价并总结国内外关于消化道肿瘤化疗患者营养支持与管理的最佳证据。方法 系统检索数据库,检索时限为建库至2025年3月31日,由2名研究者独立完成文献筛选,意见不一致时由第3名研究者裁定。结果 最终纳入15篇文献,包括临床实践指南9篇、专家共识2篇、证据总结4篇,从营养筛查、评估、干预策略及管理模式等方面汇总出41条最佳证据。结论 消化道肿瘤化疗患者营养支持与管理的最佳实践涵盖营养筛查、评估、干预等多个环节,为医护人员制定标准化、规范化、系统化的营养治疗方案提供循证依据。

Abstract

Objective To evaluate and summarize the best domestic and international evidence regarding nutritional support and management for patients with digestive tract neoplasms receiving chemotherapy. Methods Databases were systematically searched from database establishment to March 31, 2025. Literature screening was independently conducted by two researchers, and discrepancies were resolved by a third researcher. Results A total of 15 articles were finally included, including 9 clinical practice guidelines, 2 expert consensuses, and 4 evidence summaries. 41 pieces of the best evidence were summarized in terms of nutrition screening, assessment, intervention strategies, and management models. Conclusion The best practices for nutritional support and management in patients with digestive tract tumors undergoing chemotherapy cover multiple links including nutritional screening, assessment and intervention, which provide evidence-based references for medical and nursing staff to formulate standardized, normalized and systematic nutritional treatment protocols.

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[1]宋芸,张冉星,徐春兰,等.消化道肿瘤患者营养支持与管理模式的最佳证据总结[J].疾病预防与控制,2026,2(07):197-200.