在结核病治疗期间,患者是否尝试并成功戒烟? 一个前性队列研究
Jiwon Lee1, Chaeuk Chung2, Sung Soo Jung2
1College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
BMC pulmonary medicine
|November 22, 2023
概括
结核病患者戒烟具有挑战性,只有三分之一的人戒烟. 酒精消费和糖尿病影响这些人的吸烟持久性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 烟草吸烟与结核病 (TB) 之间的联系已经确立,但影响结核病患者戒烟的因素仍然不太清楚.
- 了解这些因素对于有效的公共卫生干预和结核病控制策略至关重要.
研究的目的:
- 研究被诊断患有肺结核的患者的戒烟过程.
- 确定与在抗结核治疗期间继续吸烟相关的关键因素.
主要方法:
- 从2016年到2019年,在韩国进行了一项前性队列研究.
- 招募了成年肺结核患者,并在基线和六个月治疗后评估了他们的吸烟状况.
- 统计分析确定了持续吸烟的预测因素.
主要成果:
- 在419名注册患者中,109名 (26.0%) 在基线时是目前的吸烟者.
- 在完成六个月随访的79名现有吸烟者中,有24人 (30.4%) 成功戒烟.
- 持续吸烟与酒精消费有显著的相关性 (OR=6.57),与糖尿病并发症有反向的相关性 (OR=0.15).
结论:
- 饮酒和糖尿病并发症是影响结核病患者戒烟成功的重要因素.
- 在六个月的治疗期间,吸烟戒断的成功率很低 (约为三分之一).
- 加强的,有针对性的戒烟干预措施应纳入国家抗结核计划.
相关概念视频
Pulmonary Tuberculosis V
181
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
181
Pulmonary Tuberculosis I
245
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
245
Pulmonary Tuberculosis II
242
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
242
Pulmonary Tuberculosis III
336
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
336
Pulmonary Tuberculosis IV
143
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
143
COPD: Management Using Bronchodilators and Corticosteroids
214
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
214


