营养治疗的疗效评价

Efficacy evaluation of nutrition therapy

营养治疗作为一种基础治疗手段,其疗效是应该评价的,也是可以评价的。营养治疗疗效评价传统上常用血白蛋白水平及体重,由于营养治疗是一种整体治疗,其作用除外营养状况本身,还涉及生理、心理、行为、功能、结构及病变等多个方面,因此其疗效也需要整体评价,包含上述各个方面。本文提出从营养知识-态度-行为、摄食情况、营养状况、人体学测量、人体成分分析、体能与健康状况评分、实验室检查、心理、生活质量多个方面对营养治疗进行综合评价,肿瘤患者除外上述参数,还要对病灶体积、代谢活性、肿瘤标志物及生存时间进行特异性评价。上述参数对营养治疗的反应时间快慢不同,应该根据不同参数的反应时间,在合适的时间,选择合适的参数。动态监测营养治疗前、营养治疗过程中及治疗后的上述各参数变化情况。

As a fundamental care for patients, nutrition therapy should be and could be evaluated. Traditionally, plasmaalbumin level and body weight were the only two parameters assessing efficacy of nutrition therapy. Being an integrative treatment,functioning nutrition therapy impacts on patient’s physical, psychological, behavior, function, structure and disease lesion, besidesnutrition status. Therefore, its therapeutic role should thus be evaluated comprehensively. This paper proposes to evaluate efficacyof nutrition from following aspects, nutrition knowledge-attitude-practice, food ＆ feeding, nutritional status, anthropometry, bodycomposition, physical performance and health status score, laboratory, psychological and quality of life. Additionally, cancer volume,biomarkers, metabolic activity and survival time should be specifically investigated for cancer patients. Due to the time difference ofresponse, different parameters should be monitored in different time before nutrition, during nutrition and after nutrition dynamically.