Luo Tai-yang, Lei Tao, Liu Xiao-hui, Peng Xue-mei, Kang Jun-ping, Lü Qiang, Wang Hai-yun, Ma Chang-sheng
Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2011 May;39(5):406-9.
To investigate the status quo of smoking cessation and analyze factors influencing smoking cessation in cigarette smoking patients with coronary artery disease (CAD).
A total of 350 smoking patients with CAD was surveyed by questionnaire, logistic regression analysis was performed to analyze factors influencing smoking cessation.
Incidence of smoking cessation was 57.1% (200/350) in this cohort. Patients were divided into two groups, the elderly (> 65 years old, n = 111) and the young group (≤ 65 years old, n = 239). The smoking cessation rate in the elderly group is significantly higher than in the young group (71.2% vs. 50.6%, P < 0.001). Aged patients and patients with high cultural level are easier to give up smoking. Logistic analysis showed that age ≤ 65 years old (OR = 2.336, P = 0.004), low cultural level (OR = 1.310, P = 0.028), PCI (OR = 0.261, P < 0.001), coronary artery bypass graft (OR = 0.107, P = 0.004), total family income > 4000 RMB/month (OR = 1.828, P = 0.003) are risk factors for failed smoking cessation. There are 76 patients smoking again in current smokers, most due to lack of self-control (76.3%). Compared to the elderly group, there is a higher proportion of smoking again due to the need of daily communication and work in the young group.
We still need to raise the awareness of smoking cessation for smoking patients with CAD. Following factors should be focused for tobacco control in CAD patients: younger age, lower cultural level, not treated with PCI or CABG, patients with smoking family members, higher body mass index and higher total family income.
调查冠心病（CAD）吸烟患者的戒烟现状，并分析影响其戒烟的因素。
采用问卷调查法对350例CAD吸烟患者进行调查，运用逻辑回归分析影响戒烟的因素。
该队列中戒烟发生率为57.1%（200/350）。患者分为两组，老年组（>65岁，n = 111）和青年组（≤65岁，n = 239）。老年组戒烟率显著高于青年组（71.2%对50.6%，P < 0.001）。老年患者和文化水平高的患者更容易戒烟。逻辑分析显示，年龄≤65岁（OR = 2.336，P = 0.004）、文化水平低（OR = 1.310，P = 0.028）、PCI（OR = 0.261，P < 0.001）、冠状动脉搭桥术（OR = 0.107，P = 0.004）、家庭月总收入>4000元（OR = 1.828，P = 0.003）是戒烟失败的危险因素。目前吸烟者中有76例再次吸烟，多数原因是缺乏自控力（76.3%）。与老年组相比，青年组因日常交流和工作需要而再次吸烟的比例更高。
仍需提高CAD吸烟患者的戒烟意识。CAD患者控烟应关注以下因素：年龄较小、文化水平较低、未接受PCI或CABG治疗、有吸烟家庭成员、较高的体重指数和较高的家庭月总收入。
