吸烟COPD患者戒烟影响因素分析

INFLUENCE FACTORS OF SMOKING CESSATION IN PATIENTS WITH COPD

目的:探讨影响慢性阻塞性肺疾病(COPD)患者戒烟成功率的因素,并分析COPD患者成功戒烟后肺功能的变化情况。方法:承德医学院附属医院呼吸科收治并获得随访的337例吸烟COPD患者,进行为期2年的戒烟干预,记录患者的戒烟情况并进行分析。并分别于干预前和干预1年后检测患者的肺功能FEV1%pred。结果:337例吸烟COPD患者中,1年时成功戒烟112例。戒烟成功率与性别、年龄、文化程度、m MRC、吸烟指数和有无合并症有关(P<0.01),与COPD严重程度无关(P>0.05)。干预1年后,成功戒烟者的肺功能明显优于未戒烟者(P<0.05)。结论:戒烟能改善吸烟COPD患者的肺功能;应根据患者的自身情况制定个体化戒烟方案。

Objective：To investigate the inlfuence factors of smoking cessation in patients with chronic obstructive pulmonary disease （COPD） and analyze the lung function after quitting smoking successfully.Methods：337 cases COPD patients with smoking who were treated and followed up in the Aflfiated Hospital of Chengde Medical College received smoking cessation intervention for 2-year. The smoking cessation of patients were recorded and analyzed; the lung function were detected respectively before and 1 year after intervention.Results：1 year after intervention, 112 patients quitted smoking successfully. The smoking cessation success rate was concerned with sex, age, education, mMRC, smoking index and complications （P〈0.01）; but no relations with COPD severity （P〉0.05）. 1 year after intervention, the lung function of COPD patients who quitted smoking successfully was obviously better than who didnot give up smoking （P〈0.05）. Conclusions： Smoking cessation can improve the lung function of COPD patients with smoking. Clinicians should formulate individual smoking cessation plans according to the patients’ personal situation.