文章摘要
骆景光,杨明,韩凌,高亢,陈欣,陈立伟.北京市某医院456例急性心肌梗死患者五年吸烟及戒烟现状调查[J].中华流行病学杂志,2011,32(3):244-247
北京市某医院456例急性心肌梗死患者五年吸烟及戒烟现状调查
A 5一year follow up study on smoking and current smoking cessation status in patients with acute myocardial infarction from a hospital in Xicheng district,Beijing
收稿日期:2010-11-09  出版日期:2014-09-11
DOI:
中文关键词: 肌梗死;急性;吸烟;戒烟
英文关键词: Acute myocardial infarction;Smoking;Smoking cessation
基金项目:
作者单位E-mail
骆景光 首都医科大学附属复兴医院心脏中心, 北京 100038  
杨明 首都医科大学附属复兴医院心脏中心, 北京 100038 fz-yangming@sohu.Com 
韩凌 首都医科大学附属复兴医院心脏中心, 北京 100038  
高亢 首都医科大学附属复兴医院心脏中心, 北京 100038  
陈欣 首都医科大学附属复兴医院心脏中心, 北京 100038  
陈立伟 首都医科大学附属复兴医院心脏中心, 北京 100038  
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中文摘要:
      目的 了解急性心肌梗死(AMI)患者吸烟及出院后自主戒烟现状.方法 分析2003年10月至2008年10月北京复兴医院CCU病房所有因首次AMI入院共456例西城区患者的个人资料及吸烟现状.统一对吸烟患者出院后戒烟情况、戒烟失败原因进行电话随访.结果 (1)AMI吸烟患者中以男性为主(96.3%),平均吸烟率为55.9%,其中29~50岁患者吸烟率高达87.5%.(2)正在吸烟的AMI患者平均发病年龄(58.0±12.3)岁,吸烟患者AMI平均发病年龄较戒烟组和从不吸烟组提前约16年.(3)吸烟的AMI患者出院后成功戒烟率为42.5%,不同年龄段对出院后成功戒烟率影响有统计学意义,29~50岁年龄段成功戒烟率最高,而51~65岁患者成功戒烟率最低.(4)自主戒烟失败率为40.9%,戒烟失败的主要原因为习惯性因素、戒断症状、工作压力及同事吸烟影响等.其中51~65岁患者主要受习惯性因素和戒断症状影响.结论 北京市西城区成年AMI患者吸烟率及自主戒烟失败率均较高,吸烟致AMI平均发病年龄明显提前.积极倡导戒烟对减少AMI发病率及改善预后有重要意义.
英文摘要:
      Objective To explore the smoking and smoking cessation status in patients with acute myocardial infarction.Methods 456 hospitalized patients with acute myocardial infarction in Xicheng district were recorded in CCU ward between October 2003 and October 2008.Personal data and smoking status were collected.The smoking cessation status after discharge was investigated by telephone.Results (1) Patients who smoked were still male-dominated (96.3%).The average smoking rate in male patients was 55.9%,and even as high as 87.5% in patients at 29-50 years of age.(2) The average age in patients who smoked and with acute myocardial infarction was 58.0±12.3 years old,16 years advanced the age compared to the groups who never smoked or after stopped smoking.(3) The successful smoking cessation rate in patients with acute myocardial infarction after discharge was 42.5%,and 29-50 years old group having the highest rate of successful cessation,while the lowest rate seen in 51-65 years old group.(4) The failure rate of smoking cessation was 40.9% with the main reasons as:radical habit on smoking,withdrawal symptoms,stress in work and peer influence etc.The 51-65 year-old group was mainly suffered from habitual factors and withdrawal symptoms.Conclusion The smoking rate and smoking cessation failure rate in adult patients with acute myocardial infarction in Xicheng district in Beijing remained high.The onset age of acute myocardial infarction was significantly in advance among patients who smoked.To actively advocate on smoking cessation was still vital for reducing the occurrence of acute myocardial infarction and to improve the prognosis in patients with myocardial infarction.
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