术前戒烟干预措施:系统性审查和元分析
Mohammed Alsanad1,2,3, Mohammed Aljanoubi4, Faraj K Alenezi5,6
1College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia. Alsanad018@gmail.com.
Perioperative medicine (London, England)
|January 10, 2025
概括
手术前的戒烟干预措施显著增加了患者在手术前戒烟的几率. 然而,这些干预措施并没有降低在审查的研究中术后并发症的发生率.
科学领域:
- 公共卫生 公共卫生
- 手术结果研究研究.
- 成 药物 药物 药物 药物
背景情况:
- 吸烟是可预防死亡的主要原因,并增加了术后并发症的风险.
- 术前期为戒烟干预提供了一个窗口.
- 系统审查和元分析,以评估手术前戒烟的有效性.
研究的目的:
- 评估手术前戒烟干预措施对戒烟率的有效性.
- 确定这些干预措施对术后并发症的影响.
主要方法:
- 对相关研究进行系统的文献搜索.
- 对14项研究 (2940名参与者) 的随机效应元分析.
- 主要结局:戒烟;次要结局:术后并发症.
主要成果:
- 干预措施显著增加了通过手术 (RR 1.64) 和长期随访 (RR 1.38) 戒烟的几率.
- 干预组和对照组之间的术后并发症率没有显著差异 (RR 0.81).
- 由于偏见和异质性的高风险,证据质量中等.
结论:
- 手术前的戒烟干预措施是有效的帮助患者戒烟.
- 目前的证据并没有证明手术后并发症的减少.
- 建议包括标准化结果措施和对患者观点的研究.
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