围术期戒烟病理生理与国内外麻醉医师对戒烟干预研究进展

背景 吸烟患者在围术期均处于不同的戒烟期,麻醉医师在围术期承担重要角色,但戒烟对围术期病理生理的影响有多大,哪些因素影响患者的围术期戒烟及戒烟实施情况并不十分清楚. 目的 提高麻醉管理水平,改善围术期吸烟患者的预后. 内容 回顾当前关于短期(时间范围从数小时到数周)和长期戒烟病理生理方面的变化,尤其是与术后转归密切相关的几个方面.此外,还探讨围术期戒烟的影响因素、国内外麻醉医师在围术期戒烟中的作用与实践. 趋向 围术期戒烟还有很长的路要走,需要今后的临床研究和实验进一步探讨,以便更好地帮助患者围术期甚至长期戒烟,减少麻醉手术相关并发症.

Pathophysiology of perioperative abstinence from cigarettes and smoking cessation intervention by anesthesiologists

Background All smokers undergoing surgery experience at least some period of forced abstinence from cigarettes.Anesthesiologists play a very important role in perioperative management,but little is known about the pathophysiological changes caused by forced abstinence from cigarettes and factors affecting abstinence from cigarettes in perioperative period.Objective To improve the levels of anesthesia management and the outcomes of smoking patients during perioperative period.Content Short-term (from hours to weeks) and long-term smoking cessation related pathophysiological changes,especially those closely related with postoperative outcomes were reviewed.In addition,the factors affecting smoking cessation and the roles and practice of anesthesiologist in perioperative tobacco interventions were also discussed.Trend Smoking cessation needs to be further explored in future clinical studies to better help patients abstain from perioperative and long-term smoking and reduce anesthesia related complications.