肿瘤患者家庭肠外营养的研究进展

Research Advances on Home Parenteral Nutrition for Cancer Patients

营养不良为肿瘤患者最常见的并发症,对于大多数癌症患者,因更倾向于回家治疗而使家庭肠外治疗成为患者首选。肿瘤患者的家庭肠外营养降低了患者营养不良的发生率,不仅避免了长期住院,并且节省医疗费用,有明显的社会效益。目前院外营养支持环节薄弱,迫切需要探索经济、安全、可靠的院外营养支持方式来改善患者营养状况,如营养小组建立、相关人员的培训、患者的管理、医疗保险的保障、有关协议的制定、营养制剂的深入研究以及未来网络化的配置等。

Malnutrition is the most common complication of cancer patients.Most cancer patients continue care at home after hospital treatment,which makes home parenteral nutritional therapy necessary.The home parenteral nutrition not only can improve the malnutrition stutus of patients,but also can avoid long-term hospitalization and save medical expenses.At present,the connection between hospitals and community for nutrition support is still weak.It need to explore more economical,safe,and reliable strategies for home parenteral nutritional support,such as nutrition team building,personnel training,patients management,coverage of medical insurance and related agreements,in-depth study of nutritional preparations,networking configuration and so on.