急性冠状动脉综合征患者吸烟现状及简单戒烟干预的临床效果评价  

The smoking status of patients with acute coronary syndrome and effect of simple intervention on smoking cessation

作　　者：丁荣晶[1] 傅媛媛[1] 王桂莲[1] 赵红[1] 陆丕能[1] 胡大一[1] 

机构地区：[1]北京大学人民医院心脏中心,100044

出　　处：《中华内科杂志》2010年第1期32-34,共3页Chinese Journal of Internal Medicine

摘　　要：目的了解急性冠状动脉综合征（ACS）并吸烟患者出院后6个月持续戒烟率、复吸率，评价简单干预的戒烟效果。方法收集ACS并吸烟患者150例，分为简单干预组（87例）和常规治疗组（63例），随访6个月，比较两组患者2个月、6个月戒烟率、复吸率，应用logistic回归模型进行复吸相关因素分析。结果ACS患者现吸烟率为31．14％，6个月持续戒烟率为64．6％，6个月复吸率为36．4％。简单干预组和常规治疗组6个月持续戒烟率和复吸率无差异。尼古丁依赖评分4分以上可作为复吸的预测指标。结论ACS患者6个月持续戒烟率高于一般人群。给予简单戒烟干预不增加ACS患者戒烟成功率，需要强化干预。Objective To evaluate the abstinence rate and relapse rate of smoker with ACS after discharged from hospital, to evaluate the effect of simple smoking cessation interventions. Methods 150 smokers with ACS were collected and was divided into simple intervention group （n = 87 ） and control group （ n = 63） ,respectively, followed up for 6 months. 2 months, 6 months abstinence rate, relapse rate were compared between two groups, logistic regression model was used to analyzed the relevant factors for relapse. Results The smoking rate in patients with ACS was 31.14% , 6-month continuous abstinence rate and 6- month relapse rate was 64. 6%, 36.4%, respectively. 6-month continuous abstinence rate and relapse rate between simple quit-smoking intervention group and control group showed no difference. Nicotine dependence score more than 4 points can be used as predictor of relapse. Conclusions The smoking rate and the abstinence rate of smoker with ACS is higher than the general population, simple quit-smoking intervention do not increase the success rate of quit-smoking, indicated the need to strengthen the intervention in patients with ACS and smoking.

关 键 词：冠状动脉疾病 吸烟 戒烟 

分 类 号：R541.4[医药卫生—心血管疾病]