|
| 术前戒烟干预对患者术后戒烟的影响 |
| Efficacy and safety of smoking cessation intervention by anesthesiologists |
| |
| DOI： |
| 中文关键词: 围术期 麻醉医师 戒烟干预 |
| 英文关键词: Perioperative Period Anesthesiologist Smoking cessation intervention |
| 基金项目: |
|
| 摘要点击次数: 2414 |
| 全文下载次数: 1628 |
| 中文摘要: |
| 目的 评估麻醉医师术前戒烟干预对患者术后戒烟影响的有效性及安全性。方法 选择当前吸烟男性择期手术患者182例,年龄18～79岁,ASA Ⅰ～Ⅲ级,按1∶1比例及手术大小分层随机分为对照组和干预组，每组91例。在术前访视时实施戒烟干预,措施为:吸烟对麻醉影响宣教、戒烟宣传资料(包括吸烟危害文字部分、吸烟所致器官损害图片、北京朝阳医院戒烟门诊热线电话及微信公众号),记录麻醉方式、手术时间、PACU治疗时间和术中术后并发症发生情况,术后30 d电话随访戒烟率、吸烟下降率、戒烟门诊或戒烟热线随访率。结果在182例患者中,失访16例,最后纳入分析166例。术后30 d两组戒烟率差异无统计学意义;术后30 d干预组自报吸烟下降率（36.9%）明显高于对照组（22.0%）;在术后30 d自报戒烟患者中,干预组术前呼气末CO值为轻度吸烟者占83.3％,对照组占40.0％(P＜0.05);两组术中术后并发症发生率差异无统计学意义。结论麻醉医师术前实施戒烟干预具有安全性,可使患者术后30 d吸烟量下降,并提高轻度吸烟患者术后30 d戒烟率。 |
| 英文摘要: |
| Objective To assess the efficacy and safety of smoking intervention by anesthesiologists in surgical patients. Methods A total of 182 male patients, aged 18-79 years, ASA grade Ⅰ-Ⅲ, scheduled for elective noncardiovascular and nonthoracic surgery, were assessed preoperatively. Patients were randomized to either the control group or the intervention group, n=91 each. The control group did not receive specific smoking cessation intervention. The intervention group received brief counseling by the anesthesiologist, leaflets on smoking cessation, including pictorial health warning labels, smoking cessation clinic’s smokers’ hot line and WeChat public number. Anesthesia methods, operation time, treatment time in PACU, the rate of smoking cessation at 30 days postoperatively, perioperative complications and smoking status at 30 days postoperatively were recorded. Results One hundred and sixty-six patients were included in the analysis finally. There was no significant difference between two groups in 30 days of follow up postoperatively. Self-reported smoking reduction in the postoperative 30 days the intervention group was significantly lower than that in the control group (36.9％ vs. 22.0％, P＜0.05). For smokers, there was a relationship between the level of eCO and the smoking cessation rate, it was 83.3% in the intervention group and 40.0% in the control group (P＜0.05). There was no significant difference of overall rate of combined intraoperative and immediate postoperative complications between two groups. Conclusion Smoking cessation intervention launched by anesthesiologists promotes 30 days of abstinence postoperatively. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
