摘要
对于肺癌患者来说，最常见的治疗方法就是手术，但是无论是肺癌疾病本身还是手术治疗，都很容
易造成患者的营养不良，从而影响患者的治疗效果，还会影响患者的住院时间、治疗费用、并发症发生率及死亡
率，因此，对肺癌患者围术期的营养状况给予足够的重视。对肺癌患者进行围手术期营养支持，可使患者在手术
中获得更好的呼吸功能，从而减少病死率，提高患者的预后。因此，本研究拟通过回顾和分析国内外关于围手术
期肺癌患者营养不良的研究成果，包括围手术期患者营养不良的现状和成因，营养状况的筛选和评价，营养干预
的研究，为今后开展围手术期患者营养支持的研究奠定基础。
关键词： 围术期；肺癌；营养护理
Abstract
For lung cancer patients, the most common treatment method is surgery. However, whether it
is the lung cancer disease itself or surgical treatment, it is easy to cause malnutrition in patients, which affects
the treatment effect of patients. It also affects the hospitalization time, treatment cost, incidence of complicatio
ns, and mortality rate of patients. Therefore, sufficient attention should be paid to the perioperative nutritional s
tatus of lung cancer patients. Perioperative nutritional support for lung cancer patients can help them achieve b
etter respiratory function during surgery, thereby reducing mortality and improving patient prognosis. Therefore,
this study aims to review and analyze the research results on malnutrition in perioperative lung cancer patients
both domestically and internationally, including the current status and causes of malnutrition in perioperative pat
ients, screening and evaluation of nutritional status, and research on nutritional intervention, in order to lay the
foundation for future research on nutritional support for perioperative patients.
Key words： perioperative period; Lung cancer; Nutritional care
参考文献 References
[1] 刘丽娟,王美艳,王建娥.基于预后营养指数的营养干预在肺癌手术患者中的应用[J].中华现代护理杂志,2020,26（33）:4630-4634.
[2] 宋春花,王昆华,郭增清,等.中国常见恶性肿瘤患者营养状况调查[J].中国科学（生命科学）,2020,50（12）:1437-1452.
[3] 程兰.肺癌患者PNI 和NRS2002 评分对预后及术后第三个月生活质量的研究[D].合肥:安徽医科大学,2019.
[4] MELE M C, RINNINELLA E, CINTONI M, et al.Nutritionalsupport in lung cancer patients: the state ofthe art[J]. Clinical LungCancer, 2021, 22（4）:e584-e594.
[5] 刘欢,胡雯,程懿,等.不同营养治疗对肺癌术后乳糜胸的临床结局对比分析[J].肿瘤代谢与营养电子杂志,2021,8（4）:420-423.
[6] 贺燕.肺癌根治手术病人不同时间段营养状况与氧化应激水平的关系研究[J].全科护理,2020,18（32）:4487-4489.
[7] 沙夕林,阮振华,孙启超,等.术前预后营养指数对肺癌术后并发症风险的预测价值[J].现代肿瘤医学,2020,28（5）:759-762.
[8] 陈薇,丁芹,陈健,等.肺癌手术患者营养风险调查及对临床结局的影响[J].肿瘤代谢与营养电子杂志,2020,7（2）:214-219.
[9] THOMAS P A, BERBIS J, FALCOZ P E, et al. Nationalperioperative outcomes of pulmonary lobectomy for cancer: theinfluence of nutritional status[J]. European Journal of Cardio-Thoracic Surgery, 2013, 45（4）:652-659.