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麻醉期间听录音带建议后戒烟的双盲随机试验

Double-blind, randomized trial of cessation of smoking after audiotape suggestion during anaesthesia.

作者信息

Myles P S, Hendrata M, Layher Y, Williams N J, Hall J L, Moloney J T, Powell J

机构信息

Alfred Hospital, Victoria, Australia.

出版信息

Br J Anaesth. 1996 May;76(5):694-8. doi: 10.1093/bja/76.5.694.

DOI:10.1093/bja/76.5.694
PMID:8688271
Abstract

We studied the use of intraoperative tape suggestion to improve the rate of cessation of smoking in 363 smokers who wanted to stop smoking. They were allocated randomly to hear a taped message encouraging them to stop smoking or to a blank tape, played during general anaesthesia. Overall 56 patients (15.4%, 95% confidence interval (CI) 11.7-19.1%) had claimed to have stopped smoking at 2 months and 29 patients (8.0%, 95% CI 5.9-10.1%) were confirmed to have stopped smoking at 6 months. There was no significant difference between the groups at either 2 or 6 months (risk ratios 1.06 and 1.09, respectively, P = 0.78). A preoperative:postoperative ratio of a visual analogue scale measuring the patient's motivation to stop smoking was not significantly different (control group 1.13 vs message group 1.10, P = 0.55). This study does not support the hypothesis that intraoperative tape suggestion can change smoking behaviour.

摘要

我们对363名想要戒烟的吸烟者进行了研究,探讨术中播放录音提示对提高戒烟成功率的作用。他们被随机分为两组,一组在全身麻醉期间收听鼓励戒烟的录音信息,另一组收听空白录音带。总体而言,56名患者(15.4%,95%置信区间[CI] 11.7 - 19.1%)声称在2个月时已戒烟,29名患者(8.0%,95% CI 5.9 - 10.1%)在6个月时被证实已戒烟。两组在2个月或6个月时均无显著差异(风险比分别为1.06和1.09,P = 0.78)。测量患者戒烟动机的视觉模拟量表术前与术后的比值也无显著差异(对照组为1.13,信息组为1.10,P = 0.55)。本研究不支持术中录音提示可改变吸烟行为这一假设。

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