营养和衰弱评估与老年恶性肿瘤患者预后关系的研究进展
Advances in Nutritional and Frailty Assessment in Relation to Prognosis in Elderly Patients with Malignant Tumors
DOI: 10.12677/acm.2024.143889, PDF,   
作者: 李 丹, 袁婷婷, 闫 睿*：新疆医科大学第三临床医学院附属肿瘤医院，新疆 乌鲁木齐
关键词: 营养不良；衰弱；老年人；预后；Malnutrition； Frailty； Elderly； Prognosis
摘要: 衰弱与营养不良与手术预后相关。现有衰弱评估工具如衰弱表型(FP, Frailty phenotype)、衰弱指数(FI，Frailty Index)、临床衰弱量表(CFS, Clinical Frailty Scale)、改良衰弱指数(mFI, modified frailty index)等；现有的营养评估工具如主观全面评估(SGA, Subjective Global Assessment)、营养风险筛查2002 (NRS-2002)、营养不良普遍筛查工具(MUST, Malnutrition Universal Screening Tool)、控制营养状态(CONUT, Controlling Nutritional Status)评分等；这些工具均已被证实与许多癌症患者术后不良结局相关并且有预测不良预后的能力。本文从衰弱、营养不良等四个方面进行总结，回顾了衰弱和营养评估在癌症患者术后结局方面的研究，对癌症患者进行危险分层，为临床治疗策略提供指导。
Abstract: Frailty and malnutrition are associated with surgical prognosis. Existing frailty assessment tools such as Frailty phenotype (FP, Frailty phenotype), Frailty Index (FI, Frailty Index), Clinical Frailty Scale (CFS, Clinical Frailty Scale), and modified Frailty Index (mFI, modified frailty index); existing nutritional assessment tools such as Subjective Global Assessment (SGA, Subjective Global Assessment), Nutritional Risk Screening 2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST, Malnutrition Universal Screening Tool), and Controlled Nutritional Status (CONUT, Controlled Nutritional Status) scores; all of these tools have been shown to be associated with poor postoperative outcomes in many cancer patients and have the ability to predict poor prognosis. This article summarizes four aspects of debilitation and malnutrition, reviews research on debilitation and nutritional assessment in the context of postoperative outcomes in cancer patients, and provides risk stratification of cancer patients to guide clinical treatment strategies.
文章引用：李丹, 袁婷婷, 闫睿. 营养和衰弱评估与老年恶性肿瘤患者预后关系的研究进展[J]. 临床医学进展, 2024, 14(3): 1645-1650. https://doi.org/10.12677/acm.2024.143889

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