Department of Psychiatry, University of Vermont, Burlington, VT 05401, USA.
Nicotine Tob Res. 2012 Jun;14(6):751-4. doi: 10.1093/ntr/ntr208. Epub 2011 Sep 8.
Current labeling for nicotine replacement therapy (NRT) in the United States and many countries discourages continued use of NRT after a lapse; however, recent studies and consensus statements conclude that continuing NRT postlapse substantially increases long-term abstinence. What percent of clinicians recommend continuation of NRT upon a lapse and what percent of NRT users continue NRT postlapse are unclear.
The author queried 24 treatment smoking cessation programs or providers, treatment protocols, directors of quitlines and state programs, published treatment texts, and self-help manuals, books, and Internet sites. The author also recruited 101 current smokers who had attempted to stop smoking in the last 3 months and lapsed while using NRT to complete a survey via an E-mail invitation to an Internet consumer database (www.zoomerang.com).
Most programs and providers (67%) did not discuss use of NRT postlapse, and only 8% recommended continuing NRT postlapse. Among recent quitters using NRT, about one fourth (27%) stopped NRT on the day of the lapse, and one fourth (25%) used NRT for only 1 or 2 days postlapse. Most (73%) reported that use of NRT postlapse was helpful.
In summary, advice to use NRT postlapse and actual use of NRT for several days postlapse are uncommon.
目前，美国和许多国家的尼古丁替代疗法（NRT）标签都不鼓励在戒烟失败后继续使用 NRT；然而，最近的研究和共识声明表明，戒烟失败后继续使用 NRT 会大大增加长期戒烟的成功率。目前尚不清楚有多少临床医生建议在戒烟失败后继续使用 NRT，也不清楚有多少 NRT 用户会在戒烟失败后继续使用 NRT。
作者查询了 24 个治疗戒烟项目或提供者、治疗方案、戒烟热线和州立项目主任、已发表的治疗文本以及自助手册、书籍和互联网网站。作者还招募了 101 名最近试图戒烟的吸烟者，这些吸烟者在过去 3 个月内使用 NRT 戒烟失败，并通过电子邮件邀请他们参加互联网消费者数据库（www.zoomerang.com）完成一项调查。
大多数项目和提供者（67%）没有讨论戒烟失败后使用 NRT 的问题，只有 8%的人建议在戒烟失败后继续使用 NRT。在最近使用 NRT 戒烟的人中，约有四分之一（27%）在戒烟失败的当天停止使用 NRT，四分之一（25%）在戒烟失败后仅使用 NRT 1 或 2 天。大多数人（73%）报告说，戒烟失败后使用 NRT 是有帮助的。
总之，在戒烟失败后使用 NRT 的建议和在戒烟失败后实际使用 NRT 数天的情况并不常见。
