Clinical research and nursing of enteral nutrition combined with parenteral nutrition in the early stage after total gastrectomy

Objective: To explore the value of enteral nutrition(EN) combined with parenteral nutrition(PN)in the early stage after total gastrectomy.Methods: 32 patients were randomly divided into enteral and parenteral combination group(EN + PN) and PN group,and the immune parameters nutrition changes,differences in postoperative recovery,the average length of stay,hospital charges and complications of the two groups were analyzed during perioperative area.Results: 8 days after surgery compared with preoperation: PN group's weight loss was significantly(P0.05),and the serum albumin and lymphocyte count of EN + PN group was significantly higher(P0.05).Bowel function recovery,the average length of stay,hospital costs,and complication rates decreased compared with PN group(P0.01),while the cellular immunity indexes in the two groups was no significant difference.Conclusions: Enteral nutrition combined with parenteral nutrition can improve the nutritional status of patients,and promote recovery of intestinal function in the early stage after total gastrectomy.Scientific and effective care guarantees the smooth progressis of enteral and parenteral nutrition after total gastrectomy.