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部落格戒菸戒菸泡泡龍的部落格
泡泡龍的部落格
歡迎來到我的部落格。我會在這裡分享病人戒菸的經驗,以及一些比較專業的知識。
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fjguo
暱稱:泡泡龍
個人介紹:因為喜歡潛水,潛水會產生許多泡泡,加上我屬龍,所以自稱泡泡龍

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憂鬱心情影響心臟病患的戒菸率
分類:戒菸訊息
泡泡龍(fjguo) | 2008/2/12 上午 12:12:44


依據 一月底 Archives of Internal Medicine 的報導,罹患心臟病(心肌梗塞、不穩定心絞痛)的病患中,有憂鬱症狀的病患戒菸率,明顯低於沒有憂鬱症狀的病患。

根據研究,心肌梗塞的吸菸病患40%會副發抽菸。為什麼病患面對危及生命的疾病仍然無法戒菸呢?憂鬱症狀可能扮演重要的腳色。沒有憂鬱症狀的病患三個月戒菸率為37%,有憂鬱症狀的只有15%。追蹤一年沒有憂鬱症狀的病患戒菸率為27%,有憂鬱症狀的是10%。

此研究告訴我們對於影響身心狀況非常嚴重的疾病,不是給尼古丁貼片或藥物就解決問題,同時觀察及治療憂鬱症狀是很重要的。此時Bupropion(同時是抗憂鬱劑及戒菸藥物)扮演重要的腳色。對於較嚴重憂鬱症狀的病人,使用Bupropion戒菸的成功率是19%比上3%(藥物比上安慰劑)

進一步消息請參考 http://www.medscape.com/viewarticle/569589?sssdmh=dm1.335078&src=nldne


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(快沒法子的Julia) 於 2008/3/27 下午 12:48:33 回應 |
請問有什麼辦法能讓六年前已經因抽菸得口腔癌開刀但事後非常勇敢的偷偷抽菸,導致去年又再次復發,而且是更大面積的復發,卻萬萬沒想到動完將近24小時的大手術出院後居然又開始偷偷的抽菸,一直到ㄌ今年二月又發現鎖骨處有莫名的腫脹,每ㄍ禮拜都去醫院觀察復檢兩三次,最後確定又是不好的東西,便安排3/25下午住院檢查與治療,但居然3/25的早晨去散步時又抽菸了,ㄧ跟他說不要抽菸他就會惱羞成怒,然後強辯,在醫生面前又是ㄧ副很可憐很無辜的乖寶寶樣子,我們全家人都非常的煩惱,他都是趁去散步的時候偷偷去抽菸,回來口罩及衣服上都有菸味且已經被我們無意間發現好幾包菸,請問我們該怎麼幫他? 他的臉和嘴已經不能正常進食而且嘴巴吸吐在平常進時的時候都有問題,居然還能夠抽菸,我們實在是不知道該怎麼做,請敎敎我該如何幫助他? 拜託!!!
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泡泡龍(fjguo) 於 2008/5/18 上午 09:12:29 回覆
以這個案例而言
就讓他繼續抽吧

我想他的日子已經不多了
短期抽菸並沒有什麼立即的危害
為戒菸傷神不值得

除非他的存活機會還有一年以上
否則就不要再逼他了

醫學上有所謂的"緩和醫療"
也就是不積極的治療癌末病人
當然也包括不逼癌末病人戒菸
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