妇科恶性肿瘤患者术后营养管理的最佳证据总结

Best evidence summary of postoperative nutritional management in patients with gynecological malignancies

目的总结妇科恶性肿瘤患者术后营养管理证据,为临床实施此类患者术后营养管理提供循证依据。方法按照“6S”证据模型自上而下检索数据库中有关妇科恶性肿瘤患者术后营养管理的临床决策、指南、专业共识、系统评价、原始研究等证据。由4名研究者对文献方法学质量进行独立评价,根据主题提取、汇总证据。结果最终纳入11篇文献,从营养评估、营养支持途径、时机、食物种类、体重控制及能量摄入标准、多学科营养管理团队总结6个方面共21条证据。结论现有证据较为丰富,有利于临床开展营养管理并科学地制定临床决策,提高患者抗肿瘤治疗效果。

Objective To summarize the best evidence for postoperative nutritional management for patients with gynecological malignancies,and provide a evidence-based basis to postoperative nutritional management for such patients in clinical practice.Methods According to the"6S"evidence model,search the database from top to bottom for clinical decision-making,clinical guidelines,expert consensus,systematic review,original research,and other evidence related to postoperative nutritional management of gynecological malignant tumor patients.Four researchers independently evaluated the quality of literature methodology and extracted and summarized evidence based on the theme.Results Totally 11 articles were included,and 21 pieces of evidence were summarized from 6 aspects:nutritional evaluation,postoperative nutritional support approach,opportunity,food types,postoperative weight control and energy intake standards,and multidisciplinary nutrition management team.Conclusion The existing evidence is relatively rich,which is conducive to clinical nutrition management and scientific decision-making,improving the effectiveness of anti-tumor treatment for patients.