吸烟、饮酒对胃癌患者治疗前血红蛋白、血小板与淋巴细胞比值、中性粒细胞与淋巴细胞比值的影响及护理策略

国际医药卫生导报 Pub Date : 2014-11-15 DOI:10.3760/CMA.J.ISSN.1007-1245.2014.22.001

Jinjin Ju

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引用次数: 0

摘要

目的探讨吸烟和饮酒对胃癌患者治疗前血红蛋白、血小板与淋巴细胞比值(PLR)、中性粒细胞与淋巴细胞比值(NLR)的影响。方法采用单因素Kruskal-Wallis和多元线性回归分析202例胃癌患者治疗前吸烟、饮酒与血红蛋白、PLR、NLR的关系。结果吸烟对预处理血红蛋白、PLR、NLR有显著影响(P=0.010、0.009、0.026)，饮酒对预处理血红蛋白、PLR、NLR无显著影响(P=0.415、0.090、0.168)。多因素线性回归分析显示，吸烟与预处理血红蛋白、PLR有显著相关(P=0.001,0.001)，与NLR无显著相关(P=0.246);饮水与预处理血红蛋白、PLR、NLR无显著相关(P=0.930、0.665、0.817)。吸烟、饮酒不是胃癌分期的独立危险因素(P=0.988,0.407)。结论吸烟是胃癌患者前处理血红蛋白降低、前处理PLR升高的独立危险因素。加强护理干预，改善胃癌患者的血红蛋白及全身炎症反应。关键词:胃癌;血红蛋白;血小板与淋巴细胞比值;中性粒细胞与淋巴细胞比值;吸烟;饮酒;护理

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The impact of smoking and drinking on hemoglobin, platelet to lymphocyte ratio, neutrophil to lymphocyte ratio in patients with gastric cancer before treatment and its nursing strategy

Objective To investigate the impact of smoking and drinking on hemoglobin,PLR (platelet to lymphocyte ratio),NLR (neutrophil to lymphocyte ratio) in patients with gastric cancer before treatment.Method The relationship between smoking,drinking and hemoglobin,PLR,NLR in 202 patients with gastric cancer before treatment was analyzed by single factor Kruskal-Wallis and multivariate linear regression analysis.Results Kruskal-Wallis showed smoking had a significant effect on pretreatment hemoglobin,PLR,NLR (P=0.010,0.009,0.026),while drinking had no significant effect on pretreatment hemoglobin,PLR,NLR (P=0.415,0.090,0.168).Multivariate linear regression analysis showed there were significant correlations between smoking and pretreatment hemoglobin,PLR (P=0.001,0.001),while no significant correlation between smoking and NLR (P=0.246); there were no significant correlations between drinking and pretreatment hemoglobin,PLR,NLR (P=0.930,0.665,0.817).Smoking and drinking were not independent risk factors for the stage of gastric cancer (P=0.988,0.407).Conclusions Smoking is a independent risk factor for pretreatment hemoglobin decreasing and pretreatment PLR increasing in patients with gastric cancer.Nursing intervention should be reinforced to improve hemoglobin and systemic inflammatory response in patients with gastric cancer. Key words: Gastric cancer; Hemoglobin; Platelet to lymphocyte ratio; Neutrophil to lymphocyte ratio; Smoking; Drinking; Nursing

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国际医药卫生导报

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