实用肿瘤学杂志 ›› 2026, Vol. 40 ›› Issue (1): 83-88.doi: 10.11904/j.issn.1002-3070.2026.01.012

• 综述 • 上一篇    下一篇

宫颈癌患者放化疗期间全程营养管理研究进展

万萌 综述, 朱丽红 审校   

  1. 首都医科大学附属北京妇产医院/北京妇幼保健院放疗中心(北京 100010)
  • 收稿日期:2025-10-14 修回日期:2026-01-30 发布日期:2026-02-27
  • 通讯作者: 朱丽红,E-mail:zhulihong510@ccmu.edu.cn
  • 作者简介:万萌,女,(1992—),博士,医师,从事妇科肿瘤放射治疗方面的研究。

Research progress on comprehensive nutritional management during chemoradiotherapy for cervical cancer patients

WAN Meng, ZHU Lihong   

  1. Department of radiation oncology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University/Beijing Maternal and Child Health Care Hospital,Beijing 100010,China
  • Received:2025-10-14 Revised:2026-01-30 Published:2026-02-27

摘要: 放化疗作为局部晚期宫颈癌的主要治疗方式之一,在提高患者生存率方面发挥了不可替代的作用。然而,接受放疗的宫颈癌患者营养不良发生率较高,这与肿瘤患者本身的代谢紊乱、治疗相关的不良反应以及患者心理状况等因素相关。营养不良会降低治疗耐受性,增加治疗中断的风险,甚至影响患者生存。因此,营养干预已成为抗肿瘤治疗的重要组成部分,应贯穿于放化疗的全程。但现阶段临床实践中,仅少数患者真正获得全面、充分的营养支持,建立规范化、连续性的全程营养管理体系具有重要临床意义。本文从宫颈癌患者的营养状况、预后、评估和干预等方面进行了综述,以期为临床工作提供参考。

关键词: 宫颈癌, 营养不良, 营养管理, 预后

Abstract: Chemoradiotherapy,as one of the main treatment methods for locally advanced cervical cancer,has played an irreplaceable role in improving patient survival rates.However,cervical cancer patients undergoing radiotherapy have a high incidence of malnutrition,which is related to factors such as metabolic disorders inherent to cancer patients,treatment-related adverse reactions,and patients` psychological conditions.Malnutrition can reduce treatment tolerance,increase the risk of treatment interruption,and even affect patient survival.Therefore,nutritional intervention has become an important component of anti-tumor treatment,and should be integrated throughout the entire process of chemoradiotherapy.However,in current clinical practice,only a small number of patients actually receive comprehensive and adequate nutritional support.Establishing a standardized and continuous nutritional management system throughout the entire process is of great clinical importance.This paper provides a review of the nutritional status,prognosis,assessment,and intervention of cervical cancer patients,aiming to provide a reference for clinical practice.

Key words: cervical cancer, malnutrition, nutritional management, prognosis

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