摘要
目的 调查经皮冠状动脉介入（PCI）术后1年及以上的吸烟患者戒烟率及影响因素.方法 横断面调查全国14家三甲或二甲医院心内科门诊或病房符合纳入标准的研究对象1241例,分析戒烟成功率及影响因素.结果 完成调查1226例以男性中老年为主,年龄（59.9±10.7）岁,PCI术后时间为1.5（1.2～2.1）年,尝试戒烟949例（77.4%）,戒烟成功679例（55.4%）.其中年龄越大,尝试戒烟及戒烟成功的可能越大（OR值分别为1.02,1.03）;而吸烟量大者尝试戒烟可能性大（OR=1.03）,但戒烟成功的可能性小（OR=0.97）.另外烟龄及戒烟动机均对戒烟行为有影响.结论 1年以上吸烟患者在PCI术后成功戒烟,年龄、烟龄、吸烟量、自身所患疾病及医师建议等是影响戒烟的因素.
Objective To investigate the smoking cessation rate and its related factors in cardiovascular patients after percutaneous coronary intervention.Methods A cross-sectional survey of 1241 outpatients or inpatients fulfilling the inclusion criteria was conducted at 14 hospitals across China.Results The survey population mainly consisted of middle-aged male patients with an average age of （ 59.9 ± 10.7 ）years old.Their median time after surgery was 1.5 years.Among them,77.4% tried to quit smoking while 55.4% succeed.The elder men were more likely to try to quit smoking and succeed eventually （ OR values：1.02 vs 1.03 ）.The higher number of cigarettes smoked daily,the greater possibility of trying to quit smoking （ OR = 1.03 ）,but less likely to quit smoking eventually （ OR = 0.97）.Furthermore the years of smoking and cessation motivation had impacts on the cessation behaviors as well.Conclusion Smoking cessation was achieved in more than half of the patients at one year after PCI.Age,years of smoking,daily number of cigarettes,concurrent disases and physician recommendations are the influencing factors of smoking cessation.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2011年第12期815-818,共4页
National Medical Journal of China
关键词
冠心病
血管成形术
经腔
经皮冠状动脉
吸烟
吸烟戒断
Coronary disease
Angioplasty,transluminal,percutaneous coronary
Smoking
Tobacco use cessation
