Ikeue Tatsuyoshi, Nakagawa Atsushi, Furuta Kenjiro, Morita Kyohei, Tajiri Tomoko, Maniwa Ko, Watanabe Shigeki, Sugita Takakazu, Horikawa Sadao, Nishiyama Hideki
Department of Respiratory Medicine, Japanese Red Cross Society Wakayama Medical Center.
Nihon Kokyuki Gakkai Zasshi. 2010 Feb;48(2):99-103.
We examined the prevalence of cigarette smoking among adults with acute asthma and the relationship between smoking status and visits to the emergency department of a hospital.
198 subjects (79 men), in whom acute asthma had been newly diagnosed by physicians in a municipal hospital in 2005, were included in this study.
Thirty-five percent of the enrolled asthmatic patients were current smokers with a mean of 21 pack-years, while 18% were former smokers, and 47% were never-smokers. The current smokers comprised 41% of all male patients and 31% of all female patients in this study. In the asthmatic patients aged 50 or older, 27% of men and 13% of women were current smokers, while in those younger than 50, the same percentages were 59% and 50%, respectively. Since July 31, 2007, 6 current smokers (8.7%) had visited the emergency department due to asthmatic attacks, while 3 (8.3%) were ex-smokers and 1 (1.1%) was a never-smokers (p < 0.011).
Cigarette smoking was common among patients with acute asthma, especially younger women. A current-smoker status is therefore considered to be associated with emergency visits to hospitals due to asthmatic attacks.
我们调查了急性哮喘成年患者中吸烟的流行情况以及吸烟状况与医院急诊科就诊之间的关系。
本研究纳入了198名受试者(79名男性),这些患者于2005年在一家市级医院被医生新诊断为急性哮喘。
在纳入研究的哮喘患者中,35%为当前吸烟者,平均吸烟量为21包年,18%为既往吸烟者,47%为从不吸烟者。在本研究中,当前吸烟者占所有男性患者的41%,占所有女性患者的31%。在50岁及以上的哮喘患者中,27%的男性和13%的女性为当前吸烟者,而在50岁以下的患者中,这一比例分别为59%和50%。自2007年7月31日以来,6名当前吸烟者(8.7%)因哮喘发作到急诊科就诊,3名既往吸烟者(8.3%)和1名从不吸烟者(1.1%)到急诊科就诊(p<0.011)。
吸烟在急性哮喘患者中很常见,尤其是年轻女性。因此,当前吸烟者的状态被认为与因哮喘发作到医院急诊科就诊有关。