尼古丁与安慰剂口香糖在一般医疗实践中的比较
J R Hughes1, S W Gust, R M Keenan
1Department of Psychiatry, University of Vermont, Burlington.
JAMA
|March 3, 1989
概括
在一般实践环境中,尼古丁口香糖对戒烟的益处很小. 接受尼古丁口香糖或安慰剂口香糖的吸烟者在11个月后的戒烟率相似.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 一般实践一般实践
背景情况:
- 戒烟干预措施对公共健康至关重要.
- 尼古丁替代疗法 (NRT) 是一种常见的戒烟援助.
- 在多样化,未经选择的人群中NRT的有效性需要评估.
研究的目的:
- 为了评估尼古丁口香糖与安慰剂口香糖在戒烟方面的有效性.
- 评估尼古丁口香糖在简短干预的一般医疗实践环境中的影响.
主要方法:
- 这是一项随机,双盲,安慰剂对照试验,涉及315名吸烟者.
- 参与者获得了简短的医生/护士建议,教育材料和一个后续访问.
- 干预涉及2毫克尼古丁口香或安慰剂口香.
主要成果:
- 11个月后,尼古丁口香糖组的10%和安慰剂组的7%实现了经过验证的持续戒断.
- 尼古丁和安慰剂组之间的戒断率差异在统计学上并不显著.
- 对家庭状况和收入的调整没有改变研究结果.
结论:
- 在这个未经选择的吸烟者群体中,尼古丁口香糖在戒烟方面提供了很少或没有额外的益处.
- 在一般实践中,结合尼古丁口香糖的简短干预可能不会显著提高戒烟率.
- 可能需要进一步的研究来确定从尼古丁口香糖中获益更多的特定子组.
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