冠状动脉介入治疗患者戒烟状况和动机分析  

Analysis on smoking cessation status and motivation in coronary intervention patients

作　　者：韩晓宁[1] 丁文惠[1] 龚艳君[1] 金黎英[1] 刘秀芬[1] 

机构地区：[1]北京大学第一医院心内科,100034

出　　处：《中国介入心脏病学杂志》2012年第6期321-323,共3页Chinese Journal of Interventional Cardiology

摘　　要：目的调查冠状动脉介入(PCI)治疗患者吸烟和戒烟状态,分析患者戒烟动机。方法对280名目前正在冠心病随访门诊规律就诊的PCI治疗后患者进行问卷调查,内容包括性别、年龄、第一次行PCI治疗的时间、吸烟情况、戒烟和戒烟动机等相关问题。比较各组患者初次冠状动脉介入治疗的年龄。比较不同程度戒烟的患者的吸烟量、戒烟或减少吸烟动机的差异。结果吸烟组的初次冠状动脉介入治疗年龄(56.7±16.0)岁,不吸烟组初次冠状动脉介入治疗年龄(65.5±9.8)岁,t=-5.457,P=0.000。不吸烟组中被动吸烟者的初次冠状动脉介入治疗年龄为(61.8±10.3)岁,低于同组内非被动吸烟患者初次冠状动脉介入治疗年龄(66.4±9.5)岁,t=-2.278,P=0.024。到调查的时间为止,只有10%的患者仍维持原量吸烟,83.0%的患者在初次介入治疗出院后戒烟或减少吸烟。戒烟组(91例)每日吸烟量中位数为20(10,20)支,小于吸烟量减少组(26例)的每日吸烟量20(20,30)支,Mann-Whitney检验结果,Z=-2.734,P=0.006。患者戒烟或吸烟的动机多为几个,其中家人、朋友和医生的劝说和担心对心脏疾病产生进一步危害选择比率最高。结论吸烟患者初次冠状动脉介入治疗年龄明显低于非吸烟患者,绝大多数冠心病患者在初次介入治疗后戒烟或减少吸烟。医生劝说是最重要的戒烟或减少吸烟的动机之一。Objective To investigate smoking and smoking cessation status in patients with coronary intervention （PCI） and analyze the motivation to quit smoking. Methods A questionnaire was employed to 280 outpatients post PCI for information such as gender, age, year of first time treated with PCI, smoking status, and smoking cessation motivation. Compare initial coronary intervention age of patients with different smoking status. Compare number of cigarettes consumed in different groups. Results The initial PCI age in smokers was （56.7±16.0） years,and in non-smoker is （65.5±9.8） years （t=-5.457, P=0.000）. The initial PCI age of passive smokers in the non-smoking group was （61.8±10.3） years, lower than that of the non-passive smokers in the same group, （66.4±9.5） years （t=-2.278, P=0.024）. Till the time of the survey, only 10% of patients remained the original amount of smoking. 83.0% of patients quit or reduced smoking after being discharged from hospital for initial PCI. Number of cigarettes of smoking cessation group （n=91） was 20 （10, 20）, less than of the smoking reduction group （n=26）, 20 （20, 30） （Z=-2.734, P=0.006）. To choose a single smoking cessation motivation is higher in smoking cessation ahead of PCI group than the other groups, and the highest proportion of which need to quit smoking was suffering from other diseases. The motivation to reduce smoking need a few. Persuading from family, friends and doctors and worrying further harm of heart disease by smoking were selected the highest rate. Conclusions The initial PCI age in smokers was significantly lower than non-smokers. The vast majority of patients with coronary heart disease quit smoking or reduced the amount of smoking after the first interventional treatment. Persuading from doctors was one of the most important motivations to quit smoking.

关 键 词：冠心病 戒烟 血管成形术 经腔 经皮冠状动脉 问卷调查 

分 类 号：R654.2[医药卫生—外科学]