加热烟草产品使用与呼吸道阻塞之间的关联:单中心观察研究,日本
Satomi Odani1,2, Shihoko Koyama3, Isao Miyashiro3
1Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan satomi.ichikawa1029@gmail.com.
BMJ open respiratory research
|March 9, 2024
概括
对使用加热烟草制品 (HTP) 的查至关重要,因为目前的HTP使用与呼吸道阻塞有关,即使在长期戒烟后也是如此. 应建议患者戒掉所有烟草制品.
科学领域:
- 肺部医学 肺部医学
- 烟草控制研究研究 烟草控制研究
- 临床诊断 临床诊断 临床诊断
背景情况:
- 关于加热烟草制品 (HTP) 对肺部影响的证据有限.
- 在临床环境中对HTP使用的查缺乏足够的支持证据.
- 这项研究调查了从香烟转换的人中HTP使用和呼吸道阻塞之间的联系.
研究的目的:
- 为了确定当前使用加热烟草制品 (HTP) 与呼吸道阻塞的患病率之间的关联.
- 评估HTP使用对从吸烟过渡的患者肺功能的影响.
- 为临床实践提供有关HTP使用查的信息.
主要方法:
- 在2850名成年手术患者 (2021年12月至2022年9月) 进行了螺旋测量.
- 烟草使用状况 (香烟,HTP) 在手术前进行了自我报告.
- 气道阻塞是由1秒内强制呼气体积与强制生命能力的比率来定义的;多变量波桑回归被用于分析.
主要成果:
- 16.8%的患者有呼吸道阻塞.
- 当前使用HTP,吸烟和双重使用都与与从未吸烟者相比,更高的呼吸道阻塞患病率有关.
- 在以前的吸烟者中,目前的HTP使用者中,呼吸道阻塞的患病率显著增加,特别是那些戒烟超过5年的人.
结论:
- 当前使用加热烟草制品 (HTP) 与呼吸道阻塞有关,即使在长期戒烟的患者中也是如此.
- 这些发现凸显了临床环境中对HTP使用的查的重要性.
- 建议患者对包括HTP在内的所有烟草产品进行例行查和戒烟建议.
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