《北京市控制吸烟条例》的实施对北京朝阳医院戒烟门诊就诊情况的影响

Impact of the implementation of Beijing Tobacco Control Regulation on outpatient visits for smoking cessation in Beijing Chaoyang Hospital

目的分析《北京市控制吸烟条例》（简称《控烟条例》）的实施对北京朝阳医院戒烟门诊就诊情况的影响。方法分析2015年6月1日《控烟条例》实施前后5年间（2012-2016年）北京朝阳医院戒烟门诊就诊量及复诊病例占比的变化，并采用时间序列季节指数法分析戒烟门诊就诊量的季节变化特点。结果《控烟条例》实施后至2016年12月31日，该戒烟门诊的每月平均门诊量显著高于《控烟条例》实施前[（101±37）比（48±17）例；t=-7．486，P〈0．001]；并且《控烟条例》实施后戒烟门诊复诊病例数占总就诊例数的比例显著高于《控烟条例》实施前[30．4％（582／1912）比8．2％（161／1966）；）（χ2=309．8，P〈0．001]。此外，平均每年二、三季度（夏秋季）门诊量较多，6月份达高峰，一、四季度（冬春季）门诊量较低，1月份为低谷。结论《控烟条例》的实施有效地促进了戒烟门诊就诊量的增加，且就诊量的变化存在季节性波动。

Objective To investigate the impact of the implementation of Beijing Tobacco Control Regulation on outpatient visits for smoking cessation in Beijing Chaoyang Hospital. Methods The outpatient visits and the proportion of returned cases to the total outpatient visits for smoking cessation in Beijing Chaoyang Hospital in past five years （2012 -2016） that was before and after the implementation of Beijing Tobacco Control Regulation （June 1 st, 2015 ） were analyzed. Time series seasonal index method was used to analyze seasonal variations in the outpatient visits. Results From the implementation of Beijing Tobacco Control Regulation to December 31~h, 2016, the average monthly outpatient visits for smoking cessation was significantly increased compared to that before the implementation [ （101 ± 37 ） vs （48 ± 17 ）, t = - 7. 486,P 〈 0. 001 ]. Meanwhile, the proportion of returned cases to the total outpatient visits was also significantly increased compared to that before the implementation [30. 4% （582/1 912） vs 8.2% （161/ 1 966） ; X2 = 309.8, P 〈0.0（31 ]. In addition, there were seasonal fluctuations in the number of outpatients from 2012 to 2016 , during which the outpatient visits started to increase in the second and third quarter （ summer and fall） and peaked in June, but became less in the first and fourth quarter （spring and winter） , and reached its nadir in January. Conclusions With the implementation of Beijing Tobacco Control Regulation, the outpatient visits for smoking cessation have increased. Moreover, there is seasonal fluctuation in the outpatient visits for smoking cessation.