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引用次数: 190

摘要

恶病质是晚期癌症患者的常见症状;它的特点是厌食、体重减轻和营养不良,再加上其他心理和社会后果,导致患者生活质量的恶化。恶病质的发生受多种因素的影响;这取决于患者、肿瘤类型和接受的治疗。它的复杂性保证了跨学科团队的干预,其中护理起着至关重要的作用。到目前为止,药物治疗的结果相当不利;因此,基于具体问题建议和膳食补充剂的营养治疗变得重要;肠内或肠外营养保留用于选定的病例。其他重要方面包括心理支持、相关症状的控制以及可能出现的任何并发症的预防和治疗。
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[Cachexia].
Cachexia is a frequent syndrome in patients suffering from advanced cancer; it is characterized by anorexia, weight loss, and malnutrition, which combined with other psychic and social consequences lead to a deterioration in a patient's quality of life. Various factors play a role in the development of cachexia; these depend on the patient, the type of tumor, and the treatments received. Its complexity warrant the intervention of an interdisciplinary team, in which nursing plays an essential role. Up to present time, the results of pharmaceutical treatment have been rather unfavorable; therefore, nutritional treatments based on advise for concrete problems and dietary supplements gain importance; enteral or parenteral nutrition are reserved for selected cases. Other important aspects are psychological support, control of associated symptoms and the prevention and treatment of any complication which may appear.
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