室内公共场所禁烟前后经皮冠状动脉介入治疗患者复吸危险因素差异分析  

Discrepancy analysis of independent risk factors of smoking relapse in patients underwent percutaneous coronary intervention before and after a public smoking ban

作　　者：张一径[1] 韩硕[2] 金元哲[2] 

机构地区：[1]中国医科大学附属第四医院重症医学科,辽宁沈阳110032 [2]中国医科大学附属第四医院心内科,辽宁沈阳110032

出　　处：《临床军医杂志》2016年第6期608-611,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨全国室内公共场所禁烟前后,接受经皮冠状动脉介入治疗(PCI)的患者的吸烟情况及复吸的独立危险因素的差异。方法对在中国医科大学附属第四医院接受PCI治疗的585例患者,进行病史采集及电话随访,比较在室内公共场所禁烟前后,患者吸烟情况及吸烟患者出院后复吸的危险因素的差异。结果禁烟令后,PCI患者吸烟率、术后复吸率、全因再入院率、每日被动吸烟时间等均无明显改善。禁烟令前后,吸烟的PCI患者出院后复吸的危险因素不完全相同;禁烟令前,复吸的独立危险因素为年龄(OR值为0.933,P<0.05);而禁烟令后,复吸的独立危险因素为年龄(OR值为0.869,P<0.05)、高血压(OR值为4.440,P<0.05);高龄患者复吸的风险更低。结论禁烟令前后,PCI患者术前吸烟率、术后戒烟率无差异;吸烟的PCI患者术后复吸的危险因素不相同。Objective To explore the difference of smoking rate and independent risk factors of smoking relapse among patients who underwent percutaneous coronary intervention（ PCI） before and after a public smoking national ban. Methods Totally 585 patients received PCI in the Fourth Affiliated Hospital of China Medical University were recruited. Information about smoking and relapse was collected through the medical records and the telephone follow-up. Discrepancy of smoking and risk factors of smoking resumption was compared before and after the smoking ban,respectively. Results The prevalence of smoking,smoking relapse rates,all-cause readmission rate and passive smoking in patients who underwent PCI had not improved,despite the presence of smoke-free ordinances. Independent risk factors of smoking relapse were different before and after the smoking ban. Independent risk factor of smoking relapse was age（ OR = 0. 933,P〈0. 05） before the smoking ban,while it became age（ OR = 0. 869,P〈0. 05） and hypertension（ OR =4. 440,P〈0. 05） after the smoking ban. Smoking relapse rate was lower in elderly patients. Conclusion The smoking rate and smoking relapse rates in PCI patients is not significantly different before and after the Smoking Ban. And independent risk factors of smoking relapse are different before and after the smoking ban.

关 键 词：无烟政策 经皮冠状动脉介入治疗 复吸 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]