围手术期戒烟

2011/12/26

   摘要
   吸烟是全球可预防性死亡的主要原因。包括咨询和药物治疗在内的戒烟项目被证实能有效获得长期戒断。戒烟与生活质量改善、死亡率下降、寿命延长和术后并发症降低相关。与一般想法不同的是,邻近择期手术的戒烟并不会增加肺部并发症的风险。研究显示,因择期手术而戒断的患者的长期戒断率要高于因健康问题而戒断的吸烟者。团队法戒烟和对戒烟指南的依从,能增加长期戒断的成功率。

                                                                 (陈欣 审校)
                                     
Thorac Surg Clin. 2012 Feb;22(1):1-12.
 
 
Perioperative smoking cessation.

de Hoyos A, Southard C, Decamp MM.

Source
Division of Thoracic Surgery, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 650, Chicago, IL 60611, USA.

Abstract
Smoking is the leading cause of preventable death worldwide. Smoking cessation programs that include counseling and pharmacotherapy have been proved to be effective in achieving long-standing abstinence. Smoking cessation is associated with significant improvements in quality of life, mortality, life expectancy, and postsurgical complication rates. Contrary to general belief, smoking cessation close to the time of elective surgery does not increase the risk of pulmonary complications. Longer-term quit rates are generally higher in cohorts who quit in anticipation of surgery compared with those quitting for general health considerations. A team approach and adherence to the guidelines for smoking cessation improves long-term chances of success.

Thorac Surg Clin. 2012 Feb;22(1):1-12.
 


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