循证护理2023年5月第9卷第10期（总第102期）·1759·食管肿瘤病人围术期营养管理的最佳证据总结刘云访，张桃*，李素云，喻姣花，汪欢，边婷婷，晏蓉华中科技大学同济医学院附属协和医院，湖北430022Summary of the best evidence for perioperative nutritional management in patients with esophagealtumorsLIU Yunfang,ZHANG Tao,LI Suyun,YU Jiaohua,WANG Huan,BIAN Tingting,YAN RongUnion Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430022 ChinaCorresponding Author ZHANG Tao,E-mail:834908816@qq.comAbstract Objective:To search and obtain the relevant evidence of perioperative nutrition management in patients with esophagealtumors,and to summarize the best evidence.Methods:BMJ Best Practice.Up To Date.GIN,NGC.NICE.Yimaitong.JBI EvidenceBased Health Care Center in Australia.the Cochrane Library.Web of Science.PubMed.CINAHL.EMbase.CNKI and otherguidebooks,databases and related society websites were searched.The search included all evidence of perioperative nutritionmanagement in patients with esophageal tumors.The retrieval period was from the establishment of the database to April 2022.Results:A total of 15 articles were included,including 6 guidelines.2 clinical decisions.1 practice standard.1 evidence summary.3systematic reviews.and 2 expert consensus.A total of 44 pieces of best evidence were summarized and sorted into 6 aspects.namelynutrition screening and evaluation,nutrient intake,selection and implementation of nutritional treatment methods.nutrition teambuilding,adverse reaction management,and discharge education.Conclusion:The best evidence for perioperative nutritionalmanagement of esophageal cancer patients summarized in this study is specific and highly operational,which can provide evidence-based basis for clinical work of medical staff.It is recommended that evidence users should evaluate the conditions of their medicalinstitution,patient willingness,and make targeted evidence selection when applying evidence in clinical practice.Keywords esophageal tumor:perioperative period:nutrition management:evidence-based nursing:evidence summary摘要目的：检索，获取食管肿瘤病人国术期营养管理的相关证据，并对最佳证据进行总结，方法：计算机检索BM)最佳临床实践Up To Date,国际指南协作网、美国国立指南库，英国国家卫生与临床优化研究所、医脉通，澳大利亚Joanna Briggs Institute(JB)循证卫生保健中心，the Cochrane Library、Web of Science,PubMed,CINAHL、EMbase、中国知网等指南网，数库和相关学会网站，检索内容包括食管肿瘤病人国术期营养管理所有证据，检索时限为建库至2022年4月，结果：共纳入文献15篇，包括6篇指南、2篇临床决策，1篇实践标准，1篇证据总结、3篇系统评价，2篇专家共识，汇总整理为营养筛查与评估、营养素摄入、营养治疗方式选择与实魂、营养团队建设、不良反应管理、出院宣教6个方面，共44条景佳证摇。结论：本研究总结的食管肿瘤病人国术期营养管理最佳证据，内客具体且可操作性强，可为医护人员临床工作提供循证依据。建议证据使用者在临床应用证据时，评估所在医疗机构的条件、使用证据时的促进及障碍因素、病人意愿等并进行针对性的证据选择，关键词食管肿瘤：国术期：营养管理：循证护理：证据总结d0i:10.12102.ssn.2095-8668.2023.10.008据世界卫生组织报道，2020年全球食管癌患病人阻塞食管出现进行性吞咽困难，加之食管癌引发的高数达604100例，在癌症中排名第8位。在我国，食管炎症状态和恶病质，病人常处于营养耗竭状态「2网。而癌发病率排名第6位四。局部晚期食管癌病人由于肿瘤接受新辅助放化疗的食管癌病人由于该疗法显著的胃肠道毒性，常出现恶心、呕吐、腹泻、便秘和食管炎等症状，进一步加重营养不良，病人体重减轻、肌肉量降低，作者简介刘云访，护师，硕士研究生不仅可造成治疗延迟或中断，还会引发食管癌病人健大通讯作者张桃，E-mail:834908816@qq.com康相关生活质量、治疗耐受性和生存率明显下降[可。引用信息刘云访，张桃，李素云，等.食管肿瘤病人围术期营养管理的最佳证据总结[J门.循证护理，2023,9(10)：17591766.有研究表明，合理的营养治疗可改善食管癌病人身体状况、增加手术耐受力并减少并发症的发生[刃。我国(C)1994-2023 China Academic J
