戒烟治疗与呼吸疾病的管理.pptVIP

本次试验还对畅沛的安全性进行监测，发现畅沛的不良事件发生率与安慰剂组相当，提示畅沛良好的安全性。 * * 常见误区 并不是所有吸烟者都要到戒烟门诊，劝解患者吸烟的过程要融入到每个临床医生的日常工作中去 戒烟门诊是提供专业诊治的平台 戒烟是戒烟门诊医生的事？ 我平时工作太忙，没时间做戒烟的事 简短建议有效 研究显示, 没有接受治疗的吸烟者每年戒烟的平均比例大约为2％，而临床医生简洁的建议就会使戒烟6个月或6个月以上的人员增加2％ 单独处方戒烟药有效 医生劝导戒烟的效果与劝导的程度或努力度成正比！ 3分钟以下的简短咨询建议可使成效增加30％； 3~10分钟的简短咨询建议可使之增加60％； 10分钟以上的详细咨询建议可使之增加130％； 如果再加上护理人员的协助，效果会更佳。 ——至少抽出一分钟，吸烟者的未来可能从此改变！ 我帮助戒过烟的好多人又复吸了 “十个戒烟者中有九个会在戒烟后复吸” 维持治疗预防复吸 烟草依赖是一种慢性疾病 短期治疗即产生长期治愈的效果是对慢病治疗的不切实际的期望 驱动复吸因素（生物学上的，心理的，情绪的）的影响远远超出积极治疗的一段时间 复吸是常见的，但并非不可避免！ 复吸出现表明治疗不充分 鼓励足量足疗程以及长期治疗以维持戒断，防止复吸 随访次数 0-1 2-3 4-8 8 戒断率 12.4% 16.3% 20.9% 24.7% 随访的重要? Piasecki, T.M., 2005 烟草使生命湮灭，烟不灭则生命灭！ 戒烟 —— 福泽人己！ ——王辰 戒烟—必须强调的呼吸系统疾病治疗措施！ Thank you！ * * * The MPOWER Package * The tobacco epidemic will cause the most harm to low-income and moderate-income countries with high population The tobacco industry is expanding its advertising, marketing and promotion to the developing world to capture these growing millions of potential customers Tobacco use is growing fastest in these countries, fueled by steady population growth. This will create a ‘perfect storm’ of future tobacco-related disease and death Because developing countries are still in the early stages of the tobacco epidemic, they have yet to experience the full impact of tobacco-related disease and death already evident in wealthier countries where tobacco use has been common for much of the past century Many of these countries have fewer resources to respond to the health, social and economic problems caused by tobacco use, which will exacerbate the tobacco epidemic’s impacts Tobacco-related disease and death will hit these countries very hard in the coming decades * * No safe level of second-hand smoke Smoke-free environments protect non-smokers’ health, help smokers quit encourage smoke-free homes Completely smoke-free indoor areas with no exceptions Smoke-free laws very popular do not harm business Protect worker safety * * The placement of MPOWER l