1.Effect observation of individualized oral nursing in the application of patients with maxillofacial malignant tumor
Xinlan WANG ; Zhixiu ZHANG ; Haixia LI ; Weifang XIA
Journal of Clinical Medicine in Practice 2014;(6):91-93
Objective Ti discuss the priblems if iral nursing in patients with maxillifacial malignant tumir and ti chiise the best nursing methids si as ti imprive the quality if iral nursing if patients.Methods A tital if 46 patients with maxillifacial malignant tumir were randimly di-vided inti ibservatiin griup and cintril griup,the ibservatiin griup was treated with individual i-ral nursing while the cintril griup applied traditiinal iral nursing methid,and the effect if the twi griups were cimpared.Results In the ibservatiin griup,halitisis,stimatitis,mycitic in-fectiin and pulminary infectiin were significantly liwer than that in the cintril griup.Conclusion Individualized nursing fir patients with maxillifacial malignant tumir ciuld imprive the quality if iral nursing.
2.Effect observation of individualized oral nursing in the application of patients with maxillofacial malignant tumor
Xinlan WANG ; Zhixiu ZHANG ; Haixia LI ; Weifang XIA
Journal of Clinical Medicine in Practice 2014;(6):91-93
Objective Ti discuss the priblems if iral nursing in patients with maxillifacial malignant tumir and ti chiise the best nursing methids si as ti imprive the quality if iral nursing if patients.Methods A tital if 46 patients with maxillifacial malignant tumir were randimly di-vided inti ibservatiin griup and cintril griup,the ibservatiin griup was treated with individual i-ral nursing while the cintril griup applied traditiinal iral nursing methid,and the effect if the twi griups were cimpared.Results In the ibservatiin griup,halitisis,stimatitis,mycitic in-fectiin and pulminary infectiin were significantly liwer than that in the cintril griup.Conclusion Individualized nursing fir patients with maxillifacial malignant tumir ciuld imprive the quality if iral nursing.
3.Influence of peripheral blood NLR,MLR and PLR in prognosis of patients with multiple myeloma
Xinlan XIA ; Die LIU ; Lihong AN ; Yan LI ; Peng ZHAO ; Yan ZHANG ; Mengxing LI ; Jishi WANG ; Yinghao LU
Chongqing Medicine 2024;53(15):2261-2268
Objective To investigate the influence of peripheral blood neutrophil-to-lymphocyte ratio (NLR),monocyte-to-lymphocyte ratio (MLR) and platelet-to-lymphocyte ratio (PLR) on the prognosis in the patients with multiple myeloma (MM).Methods A total of 159 newly diagnosed MM admitted and treated in the Affiliated Hospital of Guizhou Medical University from January 2019 to May 2023 were selected as the study subjects.The general clinical data,blood biochemical and marrow routine detection results before the in-itial treatment were collected.NLR,MLR and PLR were calculated.The univariate and multivariate Cox-re-gression model was adopted to analyze the influencing factors.The receiver operating characteristic (ROC) curve was used to analyze the predictive value.The Kaplan-Meier survival curve and Log-Rank test were used to conduct the survival analysis.Results The ROC curve showed that the critical values of NLR,MLR and PLR were 2.682,0.317 and 147.786 respectively.The patients were divided into the high/low NLR groups (n=61,n=98),high/low MLR group (n=76,n=83) and high/low PLR groups (n=59,n=100).The pro-portions of blood calcium<2.5 mmol/L and creatinine<177 μmmol/L in the low NLR group in the low NLR group were higher compared with the high NLR group (P<0.05);the blood calcium,creatinine and DS stage had statistical differences between the low MLR group and high MLR group (P<0.05);blood calcium had statistical difference between the low PLR group and high PLR group (P<0.05).After 3 treatment courses,the complete remission rate in the high NLR group,high MLR group and high PLR group was significantly lower than that in the corresponding low group (P<0.05).The multivariate Cox-regression analysis results showed that hemoglobin<100 g/L and high PLR were the independent risk factors affecting the progress free survival (PFS) stage in the patients with MM (P<0.05).The age>60 years old was the independent risk factors affecting the overall survival (OS) in the patients with MM (P<0.05).Conclusion NLR,MLR and PLR could serve as the assisted tool to evaluate the prognosis in the patients with MM.