题名

食道癌病人的營養照護

DOI

10.6666/ClinMed.201812_82(6).0132

作者

謝伊晴;邱哲琳;楊雀戀

关键词

食道癌(esophageal cancer) ; 營養不良(malnutrition) ; 營養支持(nutrition support) ; 腸道免疫營養(enteral immunonutrition)

期刊名称

臨床醫學月刊

卷期/出版年月

82卷6期(2018 / 12 / 28)

页次

720 - 724

内容语文

繁體中文

中文摘要

當病人發生吞嚥困難、吞嚥疼痛、食物逆流等症狀影響攝食,經診斷時大部分食道癌病人已為中晚期,且通常伴隨嚴重體重減輕及癌症惡病質(cancer cachexia)的產生,因此病人在診斷時即屬營養不良高風險族群,加上外科手術切除合併輔助性術前或術後放射線及化學治療的副作用常造成患者體重流失,影響病人營養狀態及生活品質,體重流失更使患者死亡率增加。積極營養介入使熱量達基礎代謝率之1.3-1.5倍(約每公斤體重30-35大卡),蛋白質予以每公斤體重1.2-1.5克有助於增加食道癌病人體重、減少術後併發症、縮短加護病房住院天數及總住院天數;營養不良病人,圍手術期施予腸內免疫營養(perioperative enteral immunonutrition)可顯著降低術後感染性、非感染性併發症及縮短住院天數,且有助於保留術後病人之除脂體重(fat free mass)、改善血液中發炎相關之細胞激素,腸道免疫營養配方對接受合併化放療(concurrent chemoradiotherapy, CCRT)之病人,亦可改善病人營養狀況及減少體重流失。

主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
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被引用次数
  1. 楊秀霞(Shiou-Shia Yang);姚美惠(Mei-Hui Yao);吳素綿(Suh-Mian Wu);何秀玉(Hsiu-Yu Ho)(2021)。一位初次診斷食道癌第四期患者之護理經驗。彰化護理。28(3)。115-127。