尼古丁替代治疗联合心理行为干预对辅助戒烟的作用  

The effect of the abstinence from smoking with nicotine replacement therapy combining with psychological and behavior intervention

作　　者：俞红霞[1] 臧英年[1] 林江涛[1] 

机构地区：[1]中日友好医院呼吸科,北京100029

出　　处：《中国康复医学杂志》2006年第12期1104-1106,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨尼古丁替代治疗联合心理行为干预对戒烟的临床效果。方法:随机选择60例符合试验要求的吸烟者,每天吸烟23.03±9.42支,FTP评分7.0±1.9,随机分成两组,一组进行单纯尼古丁替代治疗(NRT),另一组进行尼古丁替代治疗联合心理行为干预进行戒烟。结果:NRT辅助戒烟7周自述总戒断率约为58%。NRT联合心理行为干预治疗时7周及12周戒断率(分别为64%、52%)明显高于单纯NRT组(分别为52.17%、34.78%)(P<0.05)。NRT联合心理行为干预治疗组12周时复吸率(25%)明显低于单纯NRT组(33.33%)。而两组间NRT使用量、戒断症状、体重增加无明显差异(P>0.05)。结论:NRT辅助戒烟方式是安全且有效的,尼古丁替代治疗联合心理行为干预临床戒烟成功率更高。Objective：To assess the effect of the abstinence from smoking with nicotine replacement therapy（NRT） combining with psychological and behavior intervention.Method： Sixty men and women smoker with an average of 23.03±9.42 cigarettes per day and exhibiting a Fagerstrom Tolerance Questionnaire（FTQ） score of 7.0±1.9,were randomly divided into two groups. One group was given only NRT, another group NRT was given with psychological and behavior intervention.Result：Self-reported smoking withdrawal rate over the seven weeks was 58%,the smoking withdrawal rate of （NRT） combining with psychological and behavior intervention was higher than only NRT during seven or and twelve weeks. The relapse rate was（25%） lower than the second group（33.33%）.There were no difference between two groups in withdrawal scores and the comsumption of NRT and body weight gain. Conclusion： NRT for aiding smoking abstinence appeared to be safe and effective,NRT combining with psychological and behavior intervention show more effective.

关 键 词：尼古丁替代治疗 心理行为干预 戒断率 复吸率 

分 类 号：R749.6[医药卫生—神经病学与精神病学]