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吸烟与耳鼻咽喉科症状之间的关系。

Relationship between smoking and otorhinolaryngological symptoms.

作者信息

Şanlı Arif, Bekmez Eda, Yıldız Gazi, Erdoğan Banu Atalay, Yılmaz Hüseyin Baki, Altın Gökhan

机构信息

Department of Otolaryngology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, 34865 Cevizli, Kartal, İstanbul, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2016;26(1):28-33. doi: 10.5606/kbbihtisas.2016.87059.

Abstract

OBJECTIVES

This study aims to investigate the possible relationship between smoking and otorhinolaryngological symptoms in smokers, non-smokers and ex-smokers.

PATIENTS AND METHODS

Between March 01st, 2014 and March 31st, 2014, a total of 1,840 patients (823 males, 1,017 females) over 25 years of age who were admitted to the ear nose, and throat (ENT) outpatient clinic were included in the study. The patients who were smoking at least 10 cigarettes daily for at least five years were included in the smokers group (n=514). The patients who did not smoke for at least one year following at least five years of smoking were included in the ex-smokers group (n=268). The patients who never smoked were included in the non-smokers group (n=1,058). A form containing all ENT symptoms was given to all patients and the patients were asked to fill the form with their complaints following being informed by the same doctor.

RESULTS

Cough, shortness of breath, reflux, dryness of throat, irritation, taste disorder, bad breath, toothache, nasal congestion, smell disorders, snoring, and nasal discharge were found to be significantly higher in the smokers group, compared to the non-smokers group. Cough, sputum, hoarseness, dysphagia, reflux, sore throat, dryness of throat, irritation, stinging, oral aphthae, taste disorder, toothache, bleeding gums, and bad breath were significantly lower in the ex-smokers group. Nasal congestion, nosebleeds, sneezing, nasal discharge, smell disorders, headache, feeling of facial fullness, ear discharge, hearing loss, pain, fullness, dizziness, and tinnitus were statistically significantly lower in the ex-smokers group.

CONCLUSION

Our study results show that smoking causes symptoms particularly associated with upper respiratory tract and these symptoms may persist in ex-smokers.

摘要

目的

本研究旨在调查吸烟者、非吸烟者和戒烟者吸烟与耳鼻喉科症状之间可能存在的关系。

患者与方法

2014年3月1日至2014年3月31日期间,共有1840名25岁以上的患者(823名男性,1017名女性)被纳入该研究,这些患者均就诊于耳鼻喉门诊。每天至少吸10支烟且至少吸了5年的患者被纳入吸烟者组(n = 514)。至少吸了5年烟且已戒烟至少1年的患者被纳入戒烟者组(n = 268)。从不吸烟的患者被纳入非吸烟者组(n = 1058)。向所有患者发放一份包含所有耳鼻喉科症状的表格,并在同一位医生告知后,让患者根据自身症状填写该表格。

结果

与非吸烟者组相比,吸烟者组的咳嗽、呼吸急促、反流、喉咙干燥、刺激感、味觉障碍、口臭、牙痛、鼻塞、嗅觉障碍、打鼾和鼻涕等症状明显更多。戒烟者组的咳嗽、咳痰、声音嘶哑、吞咽困难、反流、喉咙痛、喉咙干燥、刺激感、刺痛、口腔溃疡、味觉障碍、牙痛、牙龈出血和口臭等症状明显更少。戒烟者组的鼻塞、鼻出血、打喷嚏、鼻涕、嗅觉障碍、头痛、面部胀满感、耳溢液、听力损失、疼痛、胀满感、头晕和耳鸣等症状在统计学上明显更少。

结论

我们的研究结果表明,吸烟会引发特别是与上呼吸道相关的症状,并且这些症状在戒烟者中可能会持续存在。

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