医护人员干预对急性冠脉综合征患者介入术后控烟的影响

摘要：目的 了解医护人员干预对急性冠脉综合征并吸烟人群在行冠脉介入术后的控烟状况影响，为更好的进行控烟提供科学依据。方法 对85例临床诊断为急性冠脉综合征并行介入治疗的吸烟患者，分为急性ST段抬高心肌梗死组（A组）和非ST段抬高心肌梗死及不稳定性心绞痛组(B组)；均给予医护人员控烟干预。于介入术后1、3、6、12月进行电话随访，比较干预前后及两组间控烟率、复吸人数及复吸烟量。结果 术后1个月时，两组无1例患者有复吸现象。A组于术后3、6、12个月时，控烟率分别为96.8%、 80.6%、61.3%。B组于3、6、12个月时，控烟率分别为81.5%、 57.4%、37.1%。12个月时ACS患者总体的控烟率为51.12%。两组患者复吸烟量显著性少于术前，而B组患者的复吸烟量显著性多于A组。结论 医护人员对介入患者进行强化戒烟干预，并定期随访，可提高控烟成功率。

Medical intervention on tobacco control among patients with acute coronary syndrome after Percutaneous coronary intervention

Abstract: Objective To study the effects of medical intervention on tobacco control among patients with acute coronary syndrom after Percutaneous coronary intervention. Methods 85 patients with acute coronary syndrom who had undergone PCI were divide into STEMI group and NSTEMI/UA group. Medical intervention were given to each patient and amount smoked, relapse were studied follow up for 1, 3, 6, 12 months. Result The rates of smoking quiting in 3, 6, 12 months follow-up were 96.8%、 80.6%、61.3% in group A and 81.5%、 57.4%、37.1% in group B respectively. The total rate was 51.12%. The relapse amount were significant reduced after intervention, and in group B was more than in group A. Conclusion Medical intervention on tobacco control among patients with acute coronary syndrom after Percutaneous coronary intervention and follow-up can inprove the rate of success.