OBJECTIVE: To analyze the nutritional status and nosocomial infection of nasopharyngeal carcinoma patients before and after the chemoradiotherapy treatment. METHOD: An analysis was made for the nutritional and nosocomial infection status of 82 cases before and after chemoradiotherapy treatment. RESULT: Statistically significant differences were revealed between indexes related with nutritional status such as body mass, hemoglobin, serum albumin before and after the treatment. Sixty-three patients occurred nosocomial infection. The infection rate was 76.83%. The main risk factor was oropharynx mucosal lesion and the rate is 92.68%. Isolates of 39 bacteria were found, of which Gram-negative organisms were 58.97%, Fungi were 30.77%, Gram-positive ones were 7.69%, Herpes zoster were 2.56%. CONCLUSION Chemoradiotherapy has negative influence on nutritional status of patients. Medical personnel should pay attention to patients' nutritional status and do a good job of nutritional status monitoring, nutrition support, dieting guidance, reducing side effects, in order to improve the patient's tolerability and quality of life. The nosocomial infection rate of Gram-negative bacteria of oropharyngeal mucosal is the highest in patients with advanced nasopharyngeal cancer during chemoradiotherapy. It is very important for us to prevent and control nosocomial infection.
Adult ; Aged ; Carcinoma ; Combined Modality Therapy ; Cross Infection ; epidemiology ; Female ; Humans ; Male ; Middle Aged ; Nasopharyngeal Carcinoma ; Nasopharyngeal Neoplasms ; drug therapy ; microbiology ; radiotherapy ; Nutritional Status ; Risk Factors

OBJECTIVE To study the effect of Meloxicam on the growth inhibition and apoptosis induction in nasopharyngeal carcinoma CNE-1 cell line.METHODS Technique of cell culture and randomized blank-contrast design were used.The degree and dose-dependency of Meloxicam which induced growth inhibition and apoptosis in CNE-1 cell line were observed by MTT method,AO+EB straining and flow cytomethy.COX-2 were determined using cell immunoflurorescence.RESULTS MTT assay showed that Meloxicam inhibite the growth of CNE-1 cells.AO+EB straining showed partial cells presented characteristic morphological changes of apoptosis.Flow cytometry analysis showed that treating CNE-1 cells with Meloxicam increase the percentage of apoptosis cells.Cell immunoflurorescence revealed that the COX-2 expression was decreased.CONCLUSION Meloxicam could significantly inhibit the growth and induce apoptosis of CNE-1 cells.Apoptosis of tumor cells is closely associated with down regulation of the ratio of COX-2.

OBJECTIVE: To compare the curative effect and complications between plasma radiofrequency ablation to the anterior extremity of the inferior turbinate and the treatment to the total of the inferior turbinate for the treatment of hypertrophic inferior turbinate. METHOD: One hundred and fifty-three patients were randomly divided into two groups, and all of the patients had obviously nasal obstruction due to isolated inferior turbinate hypertrophy. In the experimental group, plasma radiofrequency ablation was only applied to the anterior extremity of the inferior turbinate, whereas the whole concha was ablated in the control group. Visual analogue scale (VAS) for nasal obstruction were obtained both before the treatment and 1 year after surgery, and during the follow-up period, their recovery of nasal mucosa and complications were evaluated. RESULT. VAS scores before and after treatment were statistically significant in both groups (P < 0.01), but decreased value of VAS scores between the two groups was insignificant (P > 0.05). Complications between the two groups were statistically significant (P < 0.01). CONCLUSION Compare to radiofrequency ablation to the total of the inferior turbinate, the application to the anterior extremity of the inferior turbinate could provide adequate curative effect. The treatment to the anterior extremity of the inferior turbinate is simpler, which induce less complications, and which is safer for there is less risk of damage of continuity of the nasal mucosa. So it has a higher clinical application value.
Adult ; Catheter Ablation ; methods ; Female ; Humans ; Hypertrophy ; surgery ; Male ; Middle Aged ; Treatment Outcome ; Turbinates ; surgery ; Young Adult