CAJ | 학술논문

目的肝癌患者容易出现营养不良，严重营养不良增加了肝癌治疗相关不良反应发生率和死亡率，降低了肝癌治疗的效果和患者的生活质量，延长了住院时间。本文介绍了肝癌引起营养不良的原因以及营养治疗方法，旨在为临床上肝癌营养治疗提供指导。方法以肝癌、营养不良、营养治疗在CNKI和PubMed中查阅相关文献，对肝癌引起营养不良原因和营养治疗方法进行归纳总结。结果肝细胞受损、食欲减退、物质代谢受影响及放疗和化疗等影响机体消化吸收，是引起肝癌患者营养不良的主要原因。肝癌患者的疾病状态和治疗方式不同，各种营养治疗方法效果也差异明显。结论肝癌患者出现营养不良的原因涉及多个方面，肝癌营养治疗方案要根据患者状况，合理、科学的选择。
목적간암환자용역출현영양불량，엄중영양불량증가료간암치료상관불량반응발생솔화사망솔，강저료간암치료적효과화환자적생활질량，연장료주원시간。본문개소료간암인기영양불량적원인이급영양치료방법，지재위림상상간암영양치료제공지도。방법이간암、영양불량、영양치료재CNKI화PubMed중사열상관문헌，대간암인기영양불량원인화영양치료방법진행귀납총결。결과간세포수손、식욕감퇴、물질대사수영향급방료화화료등영향궤체소화흡수，시인기간암환자영양불량적주요원인。간암환자적질병상태화치료방식불동，각충영양치료방법효과야차이명현。결론간암환자출현영양불량적원인섭급다개방면，간암영양치료방안요근거환자상황，합리、과학적선택。
Objective Malnutrition commonly appears in patients of hepatocellular carcinoma. Severe malnutrition contributes to raising the risk of therapy-associated side effects and mortality, decreasing the efifcacy of anticancer treatments and increasing the length of hospital stay. This paper introduced the causes of hepatocellular carcinoma-related malnutrition and the nutritional therapies of hepatocellular carcinoma to provide guide for its use in clinic.Methods Using "hepatocellular carcinoma", "malnutrition" and "nutritional therapy" to search the literatures in the CNKI and PubMed. Then summarizing the causes of hepatocellular carcinoma-related malnutrition and the nutritional therapies.Results The damage of liver cell, anorexia, metabolism and assimilation are the main causes of hepatocellular carcinoma-related malnutrition. And the therapeutic effect varies with the clinical status and cancer therapies.Conclusions The causes for hepatocellular carcinoma-related malnutrition are multifarious and the choices of scientiifc and efifcient nutritional therapies should be in accordance with the patient status.