PDF(Pubmed)
Abstract：
BACKGROUND: Patients during radiotherapy due to head and neck cancers experience a lot of side effects which may have a considerable impact on the patients\' ability to meet individual daily energy demands by means of oral diet.
METHODS: The study included 104 head and neck cancer patients who qualified for radical radiotherapy. Radical treatment takes 6 weeks and every week the patients were assessed for dietary intake. The subjects were covered with the constant care of a dietician, received FSMP (food for special medical purposes), and, if necessary, enteral nutrition.
RESULTS: In the first week of treatment, the patients, from the kitchen diet alone, met 91.5% of the energy demand, while in the last week of treatment, only 40.9%. After introducing the FSMP or enteral nutrition, the patients met 120% of the demand in the first week of therapy and 95% in the last week, respectively. The patients who followed the dietary recommendations were characterized by significantly lower weight loss (3.07 kg) compared to non-adherent patients (5.56 kg).
CONCLUSIONS: The used therapy significantly contributed to decreasing nutritional intake in the subsequent weeks of treatment. On the other hand, incorporating FSMP in the diet and enteral nutrition with industrial diets significantly increased the fulfilled energy demand of patients.
METHODS: The study included 104 head and neck cancer patients who qualified for radical radiotherapy. Radical treatment takes 6 weeks and every week the patients were assessed for dietary intake. The subjects were covered with the constant care of a dietician, received FSMP (food for special medical purposes), and, if necessary, enteral nutrition.
RESULTS: In the first week of treatment, the patients, from the kitchen diet alone, met 91.5% of the energy demand, while in the last week of treatment, only 40.9%. After introducing the FSMP or enteral nutrition, the patients met 120% of the demand in the first week of therapy and 95% in the last week, respectively. The patients who followed the dietary recommendations were characterized by significantly lower weight loss (3.07 kg) compared to non-adherent patients (5.56 kg).
CONCLUSIONS: The used therapy significantly contributed to decreasing nutritional intake in the subsequent weeks of treatment. On the other hand, incorporating FSMP in the diet and enteral nutrition with industrial diets significantly increased the fulfilled energy demand of patients.
摘要：
背景：头颈部癌症放疗期间患者会经历许多副作用，这可能会对患者通过口服饮食满足个人日常能量需求的能力产生相当大的影响。
方法：本研究纳入了104名符合根治性放疗资格的头颈部癌症患者。根治性治疗需要6周，每周评估患者的饮食摄入量。受试者接受了营养师的持续护理，收到FSMP（特殊医疗用途食品），and,如有必要,肠内营养。
结果：在治疗的第一周，病人,仅从厨房饮食中，满足91.5%的能源需求，在治疗的最后一周，只有40.9%。在引入FSMP或肠内营养后，患者在治疗的第一周满足了120%的需求，在最后一周满足了95%的需求，分别。遵循饮食建议的患者的特征是体重减轻（3.07kg）明显低于非粘附患者（5.56kg）。
结论：所使用的治疗显著有助于减少随后几周的营养摄入。另一方面,将FSMP纳入饮食和肠内营养与工业饮食显着增加了患者的能量需求。
方法：本研究纳入了104名符合根治性放疗资格的头颈部癌症患者。根治性治疗需要6周，每周评估患者的饮食摄入量。受试者接受了营养师的持续护理，收到FSMP（特殊医疗用途食品），and,如有必要,肠内营养。
结果：在治疗的第一周，病人,仅从厨房饮食中，满足91.5%的能源需求，在治疗的最后一周，只有40.9%。在引入FSMP或肠内营养后，患者在治疗的第一周满足了120%的需求，在最后一周满足了95%的需求，分别。遵循饮食建议的患者的特征是体重减轻（3.07kg）明显低于非粘附患者（5.56kg）。
结论：所使用的治疗显著有助于减少随后几周的营养摄入。另一方面,将FSMP纳入饮食和肠内营养与工业饮食显着增加了患者的能量需求。
