肺部疾病患者的戒烟措施
2013/04/19
摘要
背景：吸烟与许多病理变化相关，其中一些病理变化可以影响呼吸系统，如：肺癌和慢性阻塞性肺疾病（COPD）。戒烟是肺部疾病综合治疗措施的一部分。
目的：本试验对肺部疾病患者的戒烟疗效进行系统综述。
材料与方法：检索PubMed数据库，寻找有关肺部疾病患者戒烟治疗疗效的研究。将转归和随访描述不清或无相关数据的研究以及未采用经验证技术的研究排除在外。
结果：目前可用的治疗选择包括药物治疗（安非他酮、伐尼克兰等）和咨询技术。在为数不多的临床试验中，这两类方法能有效治疗烟草依赖症，两者联合具有更高的戒断率。
结论：尽管结果充满希望，但是还有必要进行更多的研究，特别对于肺癌患者，以助确定各组患者最为有效的戒烟治疗。
(林江涛 审校)
In Vivo. 2013 Mar;27(2):171-6.
Smoking cessation strategies in patients with lung disease.
Tsiapa G, Gkiozos I, Souliotis K, Syrigos K.
Source
Professor of Oncology in Medicine, Head of Oncology Unit GPP, Sotiria General Hospital, Athens Medical School, 152 Mesogeion, Athens, 115 27, Greece. ksyrigos@med.uoa.gr.
Abstract
BACKGROUND: Smoking is related to a great variety of pathological conditions, many of which affect the respiratory system, such as lung cancer and chronic obstructive pulmonary disease (COPD). Smokingcessation should be an integral part of the therapeutic approach to patients with pulmonary disease.
AIM: The objective was to provide a systematic review of the efficacy of the various treatments for smoking cessation in patients with diagnosed pulmonary disease.
MATERIALS AND METHODS: We conducted a search in the PubMed database in order to find studies related to the efficiency of smoking cessation treatments for this group of patients. Studies with confusing or no data on outcome and follow-up, and studies which did not use validated techniques were excluded.
RESULTS: The current treatment options include pharmaceutical therapies (bupropion, varenicline, etc) and counselling techniques. In the few trials that have been conducted, both approaches seem to be effective for treating tobacco dependence, with even higher abstinence rates, when combined.
CONCLUSION: Despite the promising results, more research is necessary, especially in patients with lung cancer, in order to determine the most beneficial smoking cessation treatment for each group of patients.
In Vivo. 2013 Mar;27(2):171-6.
