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[结核病吸烟者的戒烟策略与干预措施]

[Strategy and stopping smoking interventions in smokers with tuberculosis].

作者信息

Perriot J, Underner M, Peiffer G, Flaudias V

机构信息

Dispensaire Emile Roux, Centre de Lutte antituberculeuse et de Tabacologie, Clermont-Ferrand, France.

Centre Henri Laborit, Unité de Recherche clinique, Poitiers, France.

出版信息

Rev Med Liege. 2020 Feb;75(2):100-104.

Abstract

Tuberculosis (TB) and smoking are causing a heavy mortality worldwide. Tobacco smoke increases the risk of Mycobacterium tuberculosis infection and tuberculosis disease, including severe pulmonary tuberculosis, resistant bacilli forms and death from this disease. Smoking patients with TB have poorer compliance with treatment of tuberculosis than non-smokers. In countries with high TB incidence and smoking prevalence tending to increase, smoking cessation is a means of controlling the TB epidemic. Stopping smoking improves the course of tuberculosis and promotes its final cure, it is accompanied by a better therapeutic observance. WHO recommended coordination between national tuberculosis and tobacco control programs to optimize control of the TB epidemic. The mobilization of health professionals in helping smokers with tuberculosis stopping smoking is required.

摘要

结核病(TB)和吸烟正在全球范围内造成严重的死亡率。烟草烟雾会增加感染结核分枝杆菌和患结核病的风险,包括严重的肺结核、耐药菌形式以及由此病导致的死亡。与不吸烟者相比,吸烟的结核病患者对结核病治疗的依从性较差。在结核病发病率高且吸烟率呈上升趋势的国家,戒烟是控制结核病流行的一种手段。戒烟可改善结核病的病程并促进最终治愈,同时还伴有更好的治疗依从性。世界卫生组织建议国家结核病控制项目与烟草控制项目之间进行协调,以优化对结核病流行的控制。需要动员卫生专业人员帮助患结核病的吸烟者戒烟。

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