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论恶性肿瘤与营养不良的关系及CONUT评分的研究进展
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Abstract:
恶性肿瘤患者的临床预后通常较差,其中重要的一个因素是恶性肿瘤作为一种消耗性疾病,夺取和消耗了大部分机体正常代谢所需的营养物质,但恶性肿瘤导致患者营养不良的因素是多元的,故需要一个简单有效的手段或指标去准确的评价和预测患者的预后转归,而CONUT评分作为一个经济实用的方法出现在公众视野,并在近来年来被国内外学者多次采用。本文将从肿瘤性质、治疗方式、患者心理精神层面归纳恶性肿瘤和营养的不良的关系,近年来CONUT评分在全球范围最常见的几种恶性肿瘤中的研究进展及预测价值方面作一综述。
The clinical prognosis of patients with malignant tumors is usually poor, one of the important factors is that malignant tumors, as a wasting disease, rob and consume most of the nutrients required for normal metabolism of the body. However, the factors leading to malnutrition of patients with malignant tumors are multiple, so a simple and effective means or indicator is needed to accurately evaluate and predict the prognosis of patients. As an economical and practical method, CONUT scoring has appeared in the public eye, and has been adopted many times by scholars at home and abroad in recent years. In this paper, the relationship between malignant tumors and nutritional deficiencies will be summarized from the aspects of tumor nature, treatment methods, and patient psychology. In recent years, the research progress and predictive value of CONUT score in several of the most common malignant tumors in the world will be reviewed.
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