[呼出气体中一氧化碳指标的评估]
[Evaluation of the indication of carbon monoxide in exhaled air].
作者信息
Woźniak Krzysztof, Moes Alicja, Chadzyński Radosław, Domagała-Kulawik Joanna
机构信息
Koło Naukowe "Alveolus" przy Katedrze i Klinice Chorób Wewnetrznych Pneumonologii i Alergologii, Uniwersytet Medyczny, Warszawa.
出版信息
Przegl Lek. 2009;66(10):632-5.
In spite of intensified antitobacco campaigns and decrease in social acceptance for smoking it is still an important issue. In prevention there is a need to make smokers and non-smoking people aware of a level of exposure to tobacco smoke. One of the objective methods to evaluate this exposition is to measure a concentration of the carbon monoxide in exhaled air. The aim of our study was to evaluate the indication of carbon monoxide in exhaled air. The research was based on examination of 67 patients admitted to admission room in SP CSK, Warsaw. The level of carbon monoxide was measured with Smokerlyzer device in 56 cases (34 women, 22 men). Everyone in this group answered questions concerning a reason of admission to hospital, concomitant diseases, and addiction to smoking and ways of fight against the addiction as far as smokers are concerned. Current smokers answered also questions about their attitude to smoking and filled in Fagerström and Schneider tests. In a group of 67 patients 11 were not able to proceed the test with Smokerlyzer, 5 (45.5%) due to dyspnea, 4 (36.4%) due to lack of a verbal contact. In the group of 56 investigated patients 20 (35.7%) have never smoked, 32 (57.1%) were ex-smokers and 4 (7.1%) were current smokers. 3 (75%) of the smokers have tried to give up smoking 3 times on average. In the Fagerström test their mean came to 3.5 points, what indicates a low level of addiction. The Schneider test averaged out 8 points, what indicates a good motivation to give up smoking. The average of concentration of carbon monoxide in exhaled air came to 8 ppm (1.87% Hb) in this group. In the group of non-smoking patients the level of carbon monoxide came to 1.4 ppm (0.67%Hb). In the group of nonsmoking patients exposed to the tobacco smoke, the level of carbon monoxide came to 3 ppm (1.15%), but the difference was not statistically significant (p > 0.05). The increased CO level in exhaled air is usually caused by smoking cigarettes and exposure to ETS. All the smokers acknowledged the addiction. Routine use of Smokerlyzer in the admission room is limited, mainly by the dyspnea. Despite the practicality of CO level measurement, taking medical history of smoking is still the most important.
尽管反烟草运动不断强化,且吸烟在社会上的接受度有所下降,但它仍是一个重要问题。在预防方面,有必要让吸烟者和非吸烟者了解烟草烟雾的暴露水平。评估这种暴露的客观方法之一是测量呼出气体中的一氧化碳浓度。我们研究的目的是评估呼出气体中一氧化碳的指示作用。该研究基于对67名入住华沙SP CSK急诊室的患者的检查。56例患者(34名女性,22名男性)使用Smokerlyzer设备测量了一氧化碳水平。该组中的每个人都回答了关于入院原因、伴随疾病、吸烟成瘾情况以及吸烟者戒烟方法的问题。当前吸烟者还回答了关于他们对吸烟态度的问题,并填写了法格斯特龙和施耐德测试。在67名患者中,有11人无法使用Smokerlyzer进行测试,5人(45.5%)因呼吸困难,4人(36.4%)因无法进行语言交流。在56名接受调查的患者中,20人(35.7%)从未吸烟,32人(57.1%)已戒烟,4人(7.1%)为当前吸烟者。3名(75%)吸烟者平均尝试戒烟3次。在法格斯特龙测试中,他们的平均得分为3.5分,表明成瘾程度较低。施耐德测试的平均分为8分,表明戒烟动机良好。该组呼出气体中一氧化碳的平均浓度为8 ppm(1.87%血红蛋白)。在非吸烟患者组中,一氧化碳水平为1.4 ppm(0.67%血红蛋白)。在接触烟草烟雾的非吸烟患者组中,一氧化碳水平为3 ppm(1.15%),但差异无统计学意义(p>0.05)。呼出气体中一氧化碳水平升高通常是由吸烟和接触二手烟引起的。所有吸烟者都承认成瘾。在急诊室常规使用Smokerlyzer受到限制,主要原因是呼吸困难。尽管测量一氧化碳水平具有实用性,但询问吸烟病史仍然是最重要的。