论文部分内容阅读
目的探讨吸烟后即刻呼出气CO检测基础上强化5A治疗对无戒烟意愿ACS患者烟草戒断效果。方法 2014年3月至2014年10月,连续入选心脏中心住院的不愿意戒烟的吸烟ACS患者99例,将患者随机分为吸烟后即刻呼出气CO检测基础上充分告知吸烟危害联合强化5A治疗组(试验组)和常规5R组(对照组)。均随访24周,以第9~12周持续戒断率及第24周戒断率为主要终点。结果试验组患者9至12周持续戒断率较对照组明显升高,为26.5%比8.0%,pearson卡方检验示χ~2=5.975,P<0.05(0.015)。24周时试验组患者戒断率较对照组仍显著升高,为20.4%∶6%,χ~2=4.504,P<0.05(0.034)。结论吸烟后即刻呼出气CO检测后在异常CO值基础上,充分告知吸烟患者吸烟危害及强化戒烟心理行为指导可显著提高烟草戒断率。
Objective To investigate the effect of intensive 5A on tobacco withdrawal in ACS patients without smoking cessation based on the CO detection of exhaled breath immediately after smoking. Methods From March 2014 to October 2014, 99 consecutive smokers with ACS who were hospitalized in the heart center who were not willing to give up smoking were randomly divided into three groups: smoking CO (Experimental group) and conventional 5R group (control group). All patients were followed up for 24 weeks, with continuous abstinence rate at Weeks 9-12 and withdrawal rate at Week 24 as the primary endpoint. Results The sustained abstinence rate of patients in experimental group was significantly higher than that in control group at 9 to 12 weeks (26.5% vs. 8.0%, P <0.05). At 24 weeks, the withdrawal rate in the test group was still significantly higher than that in the control group (20.4% vs 6%, χ ~ 2 = 4.504, P <0.05). Conclusion On the basis of abnormal CO value, exhaled breath CO detected immediately after smoking, which fully informed the smoking patients of smoking hazards and strengthen the guidance of smoking cessation psychological behavior can significantly increase the rate of tobacco withdrawal.