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NEJM:电子烟戒烟效果优于尼古丁替代疗法

2019-02-01 zhangfan MedSci原创

电子烟的戒烟效果显著优于尼古丁代替疗法

电子烟是常见的戒烟方法,近日研究人员比较了其与尼古丁替代疗法的戒烟效果差异。

成年试图戒烟人群参与研究,随机接受尼古丁替代产品或电子烟 (第二代可填充电子烟,尼古丁含量为每毫升18毫克)。研究的主要终点为持续1年戒烟。

886人参与研究,1年戒烟率,电子烟组为18.0%,尼古丁替代疗法组为9.9%(RR=1.83)。戒烟期间,电子烟组参与者的52周依从性显著高于替代疗法组(80% vs 9%),但咽喉或口腔刺激率显著增加(65.3% vs 51.2%),替代疗法组恶心发生率更高(37.9% vs 31.3%)。52周后,电子烟组,咳嗽(0.8)和咳痰(0.7)发生率显著降低,而尼古丁组无显著变化。组间喘息或气短发生率无显著性差异。

研究认为,电子烟的戒烟效果显著优于尼古丁代替疗法。

原始出处:

Peter Hajek et al. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy.N Engl J Med, January 31, 2019.

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1647867, encodeId=3525164e86728, content=<a href='/topic/show?id=12b24e35524' target=_blank style='color:#2F92EE;'>#尼古丁替代#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47355, encryptionId=12b24e35524, topicName=尼古丁替代)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a78423523432, createdName=makuansheng, createdTime=Sat Aug 24 14:59:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1648371, encodeId=4c8d16483e18a, content=<a href='/topic/show?id=1b88603298d' target=_blank style='color:#2F92EE;'>#替代疗法#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60329, encryptionId=1b88603298d, topicName=替代疗法)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f1023558367, createdName=skhzy, createdTime=Tue Dec 24 09:59:00 CST 2019, time=2019-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359745, encodeId=97c3359e455f, content=那我要给我爸买电子烟了, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2019/01/02/f667a67c6692f1e356c51a346d5b382f.jpg, createdBy=7b7a2515105, createdName=Janeinair, createdTime=Fri Feb 01 13:53:07 CST 2019, time=2019-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046737, encodeId=30b81046e378f, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Feb 01 12:59:00 CST 2019, time=2019-02-01, status=1, ipAttribution=)]
    2019-02-01 Janeinair

    那我要给我爸买电子烟了

    0

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    2019-02-01 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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