吸烟与健康课件篇.pptVIP

香烟像流沙，一旦陷进，难以自拔。。。 然后。。。。 * 心脏，慢慢被吞噬 * 肺，慢慢被燃烧。。。 * 胃，慢慢被腐蚀。。 * 吸烟就像是 残忍的慢性自杀。。。 * 一点点葬送幸福的人生 * 虔诚地奔向，大大小小的，坟墓。 * 毋庸置疑的结果。 * 香烟，对你身边的人危害更大你忍心么？ * 为了你爱和爱你的人不要再与香烟为伍 * * 为了我们共同的明天！ * * 在显微镜下, 焦油的纤维状微粒,(仅仅一根烟草衍生物), 类似蚁丘。当你抽烟时, 这些微粒将在肺的底部，在肺泡和一些比较稀薄的分枝中筑巢。(来源: http://www.cipretfribourg.ch/) * Slide * Key Point When evaluated by serial quantitative coronary arteriography, it is seen that smoking accelerates progression of existing coronary artery disease (CAD) and new lesion formation. Waters et al evaluated 331 participants (90 current smokers, 241 nonsmokers) with angiographically documented coronary atherosclerosis and fasting cholesterol levels between 220 and 300 mg/dL, enrolled in the randomized, double-blind, placebo-controlled Canadian Coronary Atherosclerosis Intervention Trial (CCAIT). Patients were randomized to receive either placebo or lovastatin 20 mg once daily. In an attempt to achieve a target low-density lipoprotein (LDL) cholesterol level ?130 mg/dL, drug doses were increased over the initial 16 weeks of the trial to a maximum dose of 40 mg twice daily. Participants were evaluated over a 2-year period. Repeat angiography was performed at the conclusion of the study period (except in 21 patients in whom it was performed earlier). Baseline and follow-up coronary angiograms were compared, and a change in minimal lumen diameter ?0.4 mm was considered a true change (either progression or regression). A new lesion was defined as a stenosis that was not apparent on the initial angiogram or was 25% in diameter stenosis but that narrowed by ≥0.4 mm in minimal lumen diameter at the second angiogram. Significantly more current smokers showed evidence of progression. Progression occurred in 41 of 72 (57%) current smokers and 83 of 227 (37%) nonsmokers, P=.002. Significantly more current smokers developed new atherosclerotic lesions, 36% vs 20%, P=.007. The authors therefore concluded that coronary atherosclerosis progre