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口腔鳞状细胞癌(OSCC)病史患者吸烟习惯的变化。

Changes in smoking habit among patients with a history of oral squamous cell carcinoma (OSCC).

机构信息

Service of Stomatology, Valencia University General Hospital, Valencia, Spain.

出版信息

Med Oral Patol Oral Cir Bucal. 2010 Sep 1;15(5):e721-6.

PMID:20383100
Abstract

OBJECTIVE

To determine the changes in smoking habit among patients with oral squamous cell carcinoma (OSCC) diagnosed and treated in the Service of Stomatology (Valencia University General Hospital. Valencia, Spain).

MATERIAL AND METHODS

The study involved 123 patients with a history of OSCC interviewed by telephone on their smoking habits at the time of the diagnosis and modifications in habits subsequently. The mean age at diagnosis was 60 years and 9 months (standard deviation, SD +/- 12 years and 2 months). Males predominated (61.8%) over females (38.2%). The mean time from the diagnosis of OSCC to the survey was 4 years and 6 months (SD +/- 3 years and 6 months).

RESULTS

Almost one-half of the patients (45.5%) were active smokers at the time of the diagnosis, with a mean duration of the habit of 34.9 years (SD +/- 12 years and 7 months). In turn, 19.5% of the patients were ex-smokers at diagnosis, with an average of 13 years and 9 months (SD +/- 9 years and 4 months) from smoking cessation to the development of cancer. A total of 57.1% of the smokers abandoned the habit at diagnosis, 8.9% continued to smoke to the same extent as before, and 33.9% reduced smoking.

CONCLUSION

A full 44.4 % of our patients diagnosed with OSCC continued to smoke despite warnings of the risks, and although the majority claimed to have reduced their smoking habit, interventional strategies would be indicated to help ensure complete smoking cessation.

摘要

目的

确定在 Valencia 大学总医院口腔科(西班牙 Valencia)诊断和治疗的口腔鳞状细胞癌(OSCC)患者吸烟习惯的变化。

材料和方法

这项研究涉及通过电话采访的 123 名有 OSCC 病史的患者,询问他们在诊断时的吸烟习惯以及随后习惯的改变。诊断时的平均年龄为 60 岁零 9 个月(标准差 +/- 12 岁零 2 个月)。男性(61.8%)多于女性(38.2%)。从 OSCC 诊断到调查的平均时间为 4 年零 6 个月(标准差 +/- 3 年零 6 个月)。

结果

近一半的患者(45.5%)在诊断时为活跃吸烟者,平均吸烟习惯持续时间为 34.9 年(标准差 +/- 12 年零 7 个月)。反过来,19.5%的患者在诊断时为戒烟者,平均在戒烟后 13 年零 9 个月(标准差 +/- 9 年零 4 个月)后发生癌症。44.4%的吸烟者在诊断时放弃了吸烟习惯,8.9%的人继续吸烟与以前一样多,33.9%的人减少了吸烟。

结论

尽管我们的患者在被警告吸烟风险后仍有 44.4%继续吸烟,但大多数人声称已经减少了吸烟习惯,仍需要采取干预策略以确保完全戒烟。

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