Objective To study the application method and effect of perioperative enteral nutrition support in patients with gastrointestinal cancer.Methods 82 patients with gastrointestinal tumor were randomly divided into two groups.41 cases in the control group were given intravenous nutrition.41 patients in the study group were given enteral nutrition support 7d before operation,outage on the day of surgery,postoperation consistently given enteral nutrition support for 7d.The preoperative nutritional status,immune index,postoperative complications,the length of time and hospitalization expenses were compared between the two groups.Results Preoperative 1d,7d,the ALB,TRF,TP, PAB levels in the study group had no statistically significant differences compared with admission (all P >0.05).7d after operation,the TRF,PAB of the study group were (1.71 ±0.17)g/L,(174.67 ±22.81)mg/L,which of the con-trol group were (1.46 ±1.46)g/L,(142.73 ±27.32)mg/L,the differences were statistically significant (t =2.662, 2.917,all P <0.05).3d,7d after operation,the CRP,IL -6 and TNF - levels in the two groups increased signifi-cantly,compared with preoperation the differences were statistically significant (P <0.05).3d,7d after operation,the team CRP levels of the study group were (121.5 ±15.6)mg/L,(55.17 ±7.62)mg/L respectively,IL -6 levels were (81.42 ±13.56)pg/L,(56.14 ±9.73)pg/L and TNF -levels were (67.25 ±17.23)pg/L,(63.23 ±11.80)pg/L;In the control group,3d,7d after operation,CRP levels were (161.3 ±20.7)mg/L,(99.26 ±20.74)mg/L,IL -6 levels were (103.62 ±21.54)pg/L,(77.43 ±18.26)pg/L,the TNF -levels were (79.01 ±16.9)pg/L,(68.25 ± 12.48)pg/L,the differences between the two groups were statistically significant (P <0.05).The incidence rate of complications of the study group was 2.44%,which of the control group was 12.20% (χ2 =2.717,P <0.05 ). Conclusion Gastrointestinal tumor patients with malnutrition,perioperative enteral nutrition support can promote the synthesis of protein metabolism,relieve excessive postoperative systemic inflammatory reaction,reduce the risk of surgery.

Objective:To evaluate the quantity and function changes of dendritic cells ( DC) in peripheral blood of patients with repeated implantation failure ( RIF).Methods:30 patients with RIF and 15 normal controls were enrolled in this study,and the peripheral blood was collected during the mid-luteal phase.The percentage of DC subsets and the expression levels of functional molecules were assessed by flow cytometric analysis.Results:Compared with normal controls,the percentage of lin-HLA-DR+DC cells accounting for leukocytes in patients with RIF was not significantly different ( P>0.05).There were also no significant differences in the expression levels of co-stimulatory molecules ( CD80 and CD86) and immune tolerant molecules CD200 on DC cells surfaces between patients with RIF and normal controls ( all P>0.05).In addition,the percentage of CD11c+CD123-mDC accounting for DC cells was significantly increased in patients with RIF (P<0.05),however,the percentage of CD11c-CD123+pDC was similar (P>0.05). Conclusion:The percentage of mDC accounting for DC cells was significantly increased in patients with RIF, which may be one of factors affecting pregnancy outcomes.

OBJECTIVE:To provide reference for the clinical pharmacists to apply syndrome differentiation of eight principles theory for TCM consultation services. METHODS:Several examples were given to illustrate the practice of the theory guiding patients'medication consultation in respect of Chinese herbal medicine differential medication,Chinese patent medicine differential medication,dietary taboo,etc. According to the author's many years of work experience,from the three aspects of the counselor, the consultant,and the consulting conditions,the reasons that TCM consultation window couldn't provide the medical staff and patients with rational TCM use suggestions and appropriate diet were analyzed. RESULTS & CONCLUSIONS:The syndrome differentiation of eight principles theory is based on four diagnostic methods to collect and analyze symptoms,signs and other information comprehensively. The information were divided into eight types of syndromes as yin and yang,exterior and interior, cold and heat,deficiency and excess,so as to determine the theory of basic syndromes of disease. The suggestions on rational drug use and appropriate diet were provided for the patients by using syndrome differentiation of eight principles theory. In view of the lack of knowledge and ability of the clinical pharmacists on syndrome differentiation of eight principles theory,the unfamiliar service scope of the clinical pharmacists in TCM consultation service,and the lack of consultation conditions for the use of TCM, it is suggested that the clinical pharmacists should learn more about the syndrome differentiation of eight principles theory;TV, WeChat and other media guide public dialect use of Chinese herbal medicines,Chinese patent medicines and appropriate diet;hardware conditions for TCM consultation by establishing TCM consultation rooms and TCM consultation clinics are establish so as to improve the level of clinical pharmacists'TCM consultation services.