Czajkowska-Malinowska M, Nowiński A, Górecka D, Zieliński J
Centrum POChP i Niewydolności Oddychania Wojewódzkiego Szpitala Gruźlicy i Chorób Płuc w Bydgoszczy.
Pneumonol Alergol Pol. 2001;69(9-10):524-9.
In the years 1998-2000 in the Centre of COPD and Respiratory Failure in Bydgoszcz a group of tobacco smokers at risk of COPD (over 40 years of age, with smoking history of more than 10 packyears) were studied. Every patient filled-in a simple questionnaire on clinical signs of COPD and tobacco habit, had a spirometry performed according to ATS standards and received a short antitobacco counseling together with a booklet on how to quit smoking. Out of 1072 patients studied in 1998, airway obstruction was found in 200. Eighty seven of these were current smokers (studied group-S). Another 90 current smokers with normal spirometry served as a control group-C. Both groups of smokers were invited in 1999 and 2000 to perform spirometry. Changes in smoking habit were recorded at each yearly visit. After one year 13 patients (15%) from the S group and 4 (4.5%) from the C group permanently stopped smoking. In 2000 24 patients (28%) in S group and 13 (14.7%) in C group permanently quit smoking.
Spirometric screening in smokers at risk of COPD together with a minimal antismoking intervention seems to be a promising method of smoking cessation.
1998年至2000年期间，在比得哥什的慢性阻塞性肺疾病和呼吸衰竭中心，对一组有慢性阻塞性肺疾病风险的吸烟者（年龄超过40岁，吸烟史超过10包年）进行了研究。每位患者填写了一份关于慢性阻塞性肺疾病临床症状和吸烟习惯的简单问卷，按照美国胸科学会标准进行了肺活量测定，并接受了简短的戒烟咨询以及一本关于如何戒烟的小册子。在1998年研究的1072名患者中，发现200人存在气道阻塞。其中87人是现吸烟者（研究组-S）。另外90名肺活量测定正常的现吸烟者作为对照组-C。1999年和2000年邀请两组吸烟者进行肺活量测定。每次年度随访时记录吸烟习惯的变化。一年后，S组有13名患者（15%）和C组有4名患者（4.5%）永久戒烟。2000年，S组有24名患者（28%）和C组有13名患者（14.7%）永久戒烟。
对有慢性阻塞性肺疾病风险的吸烟者进行肺活量测定筛查并辅以最少的戒烟干预似乎是一种有前景的戒烟方法。
