PDF(Pubmed)
Abstract：
OBJECTIVE: Patients with cancer cachexia have poor adherence to treatment, which affects their prognosis. Currently, there are many studies on the effects of rehabilitation on cancer cachexia, but there is a lack of evidence on the effects of nutrition therapy alone or in combination with rehabilitation and nutrition therapy. This article describes a case in which rehabilitation nutrition care process was effective in a patient with lung cancer who developed cancer cachexia.
METHODS: A 68-year-old woman was hospitalized for treatment of lung adenocarcinoma. The patient had moderate malnutrition, sarcopenia, and cachexia at the time of admission, so the authors intervened according to rehabilitation nutrition care process. The physiotherapist mainly prescribed resistance training and aerobic exercise, 40-60 minutes a day, 5-6 days a week. And the dietitian provided oral nutritional supplements (100 kcal, branched-chain amino acid: 3.0 g) in addition to hospital food and adjusted the patient\'s energy intake to 26.96-33.05 kcal/kg/day and protein intake to 1.07-1.14 g/kg/day.
RESULTS: Comparing the initial evaluation with the discharge, nutritional status, such as body mass index and skeletal muscle mass, and physical functions, such as maximum grip strength, gait speed, and functional independence measure (motor items), were improved.
CONCLUSIONS: Rehabilitation nutrition care process-based interventions may improve nutritional status and physical functions more than exercise therapy alone in patients with lung cancer cachexia.
METHODS: A 68-year-old woman was hospitalized for treatment of lung adenocarcinoma. The patient had moderate malnutrition, sarcopenia, and cachexia at the time of admission, so the authors intervened according to rehabilitation nutrition care process. The physiotherapist mainly prescribed resistance training and aerobic exercise, 40-60 minutes a day, 5-6 days a week. And the dietitian provided oral nutritional supplements (100 kcal, branched-chain amino acid: 3.0 g) in addition to hospital food and adjusted the patient\'s energy intake to 26.96-33.05 kcal/kg/day and protein intake to 1.07-1.14 g/kg/day.
RESULTS: Comparing the initial evaluation with the discharge, nutritional status, such as body mass index and skeletal muscle mass, and physical functions, such as maximum grip strength, gait speed, and functional independence measure (motor items), were improved.
CONCLUSIONS: Rehabilitation nutrition care process-based interventions may improve nutritional status and physical functions more than exercise therapy alone in patients with lung cancer cachexia.
摘要：
目的：癌症恶病质患者对治疗的依从性差，这会影响他们的预后。目前,有许多关于康复对癌症恶病质的影响的研究，但是缺乏关于单独或与康复和营养治疗结合的营养治疗效果的证据。本文描述了一个案例，其中康复营养护理过程对发展为癌症恶病质的肺癌患者有效。
方法：一名68岁女性因肺腺癌住院。病人有中度营养不良,少肌症,入院时的恶病质，所以作者根据康复营养护理过程进行干预。理疗师主要规定阻力训练和有氧运动，每天40-60分钟,每周5-6天。营养师提供口服营养补充剂(100大卡，支链氨基酸：3.0g）除医院食物外，并将患者的能量摄入量调整为26.96-33.05kcal/kg/天，蛋白质摄入量调整为1.07-1.14g/kg/天。
结果：将初始评估与放电进行比较，营养状况,如体重指数和骨骼肌质量，和身体功能，如最大握力，步态速度,和功能独立性测量(运动项目)，改进了。
结论：在肺癌恶病质患者中，基于康复营养护理过程的干预措施比单独的运动疗法更能改善营养状况和身体功能。
方法：一名68岁女性因肺腺癌住院。病人有中度营养不良,少肌症,入院时的恶病质，所以作者根据康复营养护理过程进行干预。理疗师主要规定阻力训练和有氧运动，每天40-60分钟,每周5-6天。营养师提供口服营养补充剂(100大卡，支链氨基酸：3.0g）除医院食物外，并将患者的能量摄入量调整为26.96-33.05kcal/kg/天，蛋白质摄入量调整为1.07-1.14g/kg/天。
结果：将初始评估与放电进行比较，营养状况,如体重指数和骨骼肌质量，和身体功能，如最大握力，步态速度,和功能独立性测量(运动项目)，改进了。
结论：在肺癌恶病质患者中，基于康复营养护理过程的干预措施比单独的运动疗法更能改善营养状况和身体功能。
