吸烟对癌症手术效果的影响以及围手术期戒烟干预建议  

Effect of Smoking on Cancer Surgery Outcomes and Recommendations for Perioperative Smoking CessationIntervention

作　　者：杨露 廖再波[2] YANG Lu;LIAO Zaibo(Laminar Flow Research Ward,Clinical Laboratory Center,West China Hospital of Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,Chiina;Center of Gerontology and Geriatrics,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,Chiina)

机构地区：[1]四川大学华西医院临床实验中心层流研究病房/四川大学华西护理学院,成都610041 [2]四川大学华西医院老年医学中心/四川大学华西护理学院,成都610041

出　　处：《四川大学学报（医学版）》2023年第6期1312-1316,共5页Journal of Sichuan University(Medical Sciences)

基　　金：四川省科技厅重点研发项目(No.2021YFS0154)资助。

摘　　要：吸烟是成年人常见的健康风险行为,与罹患各类癌症的风险密切相关,但吸烟对癌症术前风险和术后效果的影响却尚未得到足够的重视。大量基础研究、临床证据及预后数据证明吸烟与围手术期多种并发症的风险增加有关,吸烟影响整体预后。而术前戒烟和围手术期戒烟则可有效降低该风险,同时改善术后长期效果。目前医患双方对戒烟干预均不够重视,干预质量较差。因此本文就提供全面和规范化戒烟服务的必要性、如何开展全方位戒烟服务及如何实施戒烟服务提出了建议,为癌症患者围手术期获得循证护理提供参考。Smoking,a common behavior that causes health risks among adults around the world,is closely associated with the risks of developing various kinds of cancers.Nevertheless,the impact of smoking on preoperative risks and postoperative outcomes of cancer surgeries has been largely overlooked.Extensive basic medical and clinical research findings and prognosis data demonstrate that smoking is associated with increased risks of multiple perioperative complications,and that smoking affects the general prognosis of patients.Smoking cessation during the preoperative and perioperative periods effectively reduces these risks and improves the long-term postoperative outcomes of cancer patients.At present,health workers and patients are not giving adequate attention to smoking cessation interventions and the quality of interventions available is poor.Herein,we discussed the necessity of comprehensive and standardized smoking cessation services and made recommendations regarding the implementation of comprehensive and standardized smoking cessation services,providing support for cancer patients to access evidence-based care during the perioperative period.

关 键 词：手术 围手术期 并发症 术后效果 戒烟干预 戒烟服务 综述 

分 类 号：R163[医药卫生—公共卫生与预防医学] R730