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恶性肿瘤患者,由于营养状态明显低下,而不能行手术,放疗或化疗;尤其对癌进展期患者,行强力联合化疗时。进食及消化吸收障碍,经口改善营养状态几乎是不可能的。对上述情况,采取静脉高能营养是有效的方法。此法不仅可改善机体营养状态又可增加对抗癌药的耐受性。1986年以来,我科采取浅静脉营养管理下行化疗,抗癌疗效较好:对营养状态低下不适手术与放疗的患者,边浅静脉营养边化疗;对恶性淋巴瘤及胃肠道癌进展期患者、行强力化疗之同时并用浅静脉营养;化疗中自细胞有下降趋势者。继续化疗加用浅静脉营养,改善患者营养状态,使之可耐受大量化疗药,使用药间歇期缩短。疗程集中短期内完成,减轻化疗付作用,保证化疗较顺利进行,疗效有所提高。
Malignant tumor patients can’t undergo surgery, radiotherapy or chemotherapy due to their low nutritional status, especially when they are combined with chemotherapy in patients with advanced cancer. Eating and digesting and absorbing disorders, and improving nutritional status by mouth are almost impossible. For these situations, it is effective to use intravenous high-energy nutrition. This method can not only improve the body’s nutritional status but also increase the tolerance of anti-cancer drugs. Since 1986, our department has adopted superficial vein nutrition management and chemotherapy, which has good anti-cancer efficacy: in patients with low nutritional status, unsuitable surgery and radiotherapy, superficial vein nutrition and chemotherapy; patients with malignant lymphoma and advanced gastrointestinal cancer While performing strong chemotherapy, superficial vein nutrition is used simultaneously; in chemotherapy, there is a tendency of decline from cells. Continue chemotherapy plus superficial vein nutrition to improve the patient’s nutritional status, so that it can tolerate a large number of chemotherapeutic drugs, drug use interval shortened. The course of treatment is completed in a short period of time to reduce the effect of chemotherapy and ensure that chemotherapy is performed more smoothly and the curative effect is improved.