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Objective To observe the early postoperative enteral nutrition in patients with total gastrectomy (Early Enteral Immunonutrition IEN) , and compare with standard enteral nutrition (Standard Enteral Nutrition SEN) and parenteral nutrition (Parenteral Nutrition PN) evaluation of early postoperative enteral nutrition application advantages . March 2007 to October 2009 , Hangzhou First People's Hospital admitted due to gastric cancer in patients with total gastrectomy 87 cases were randomly divided into a the IEN group , SEN group and PN group , n = 29 cases . Compare three groups of patients 1,7,10 days after the nutrition indicators ( total protein , albumin , prealbumin , transferrin , nitrogen balance ) , immune indicators (IgG, IgA, IgM, CD3, CD4, CD4/CD8 ) recovery and postoperative infectious complications (including pulmonary infection , urinary tract infection , wound infection ) incidence . Results after 1 day , among the three groups of nutrition and nitrogen balance , immune index difference was not statistically significant (P gt; 0.05), to 7,10 days , three groups of nutrients and nitrogen balance the immune indicators have rebounded , IEN group compared with the SEN group PN rising significantly faster , the difference was statistically significant ( P lt; 0.05 ) . IEN group after the SEN group and PN group , the incidence of infectious complications were 10.3% , 34.5% , 37.5 % , and the difference was statistically significant ( P lt; 0.05 ) . Conclusion gastric cancer patients with total gastrectomy early postoperative enteral immune nutrition is safe and effective , its efficacy in improving the recovery of protein synthesis and immune function significantly , and can reduce the incidence of postoperative infectious complications .
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