pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLCpulmo-2664Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESОсобенности табачной зависимости у пациентов с хронической обструктивной болезнью легкихSmoking dependence in patients with chronic obstructive pulmonary diseaseБримкуловН. Н.BrimkulovN. N.

Бишкек

ВинниковД. В.VinnikovD. V.

Бишкек

Медицинский факультет Кыргызско-Российского (Славянского) университета; Кыргызский астма-центрKyrgyzstan200308092021032024Copyright © Бримкулов Н.Н., Винников Д.В., 20212021Бримкулов Н.Н., Винников Д.В.Brimkulov N.N., Vinnikov D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/2664

С целью изучения особенностей табачной зависимости у курящих больных хронической обструктивной болезнью легких (ХОБЛ) по сравнению с курящими, не имеющими симптомов ХОБЛ, обследовано 166 больных ХОБЛ, в том числе 146 курящих, в возрасте от 20 до 55 лет, и группа контроля — 115 курящих без признаков ХОБЛ. Кроме анкетирования с помощью теста Фагерстрома и теста прекращения курения изучали вентиляционные показатели и содержание выдыхаемого монооксида углерода. В отличие от курящих без симптомов ХОБЛ у пациентов с ХОБЛ выявлены особенности табачной зависимости, которые отмечались и в группах с различной степенью тяжести ХОБЛ. Мотивация к прекращению курения была большей у пациентов со средней тяжестью ХОБЛ. Метод измерения монооксида углерода газа должен обязательно применяться при оценке степени зависимости.

Aiming to estimate smoking behavior and nicotine addiction in smokers with chronic obstructive pulmonary disease (COPD) compared with smokers not having COPD symptoms, 166 COPD patients were examined comprising 146 smokers (aged 20-55 yrs) and 115 smokers without COPD as a control group. They were experienced to the Fagerstrom test, a motivation to quit test, ventilation and exhaled carbon monoxide assessment. Nicotine dependence in the smoking COPD patients was different from that in the persons without COPD. It also differed in various COPD severity. The motivation to quit was maximal in COPD stage II. The exhaled carbon monoxide should be implemented to verify the nicotine dependence.

ReferencesЧучалин А.Г., Сахарова Г.М. Практическое руководство по лечению табачной зависимости. Рус. мед. жури. 2001; 9 (21): 904-911.Чучалин А.Г., Сахарова Г.М. Практическое руководство по лечению табачной зависимости. Рус. мед. жури. 2001; 9 (21): 904-911.Berglund Е., Birath G., Bjure J. et al. Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age. Acta Med. Scand.1963; 173: 185-191.Berglund Е., Birath G., Bjure J. et al. Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age. Acta Med. Scand.1963; 173: 185-191.Fagerstrom K., Heatherton T.F., Kozlowski L.T. Nicotine addiction and its assessment. Ear Nose Throat J.1991; 69: 763-768Fagerstrom K., Heatherton T.F., Kozlowski L.T. Nicotine addiction and its assessment. Ear Nose Throat J.1991; 69: 763-768Fife C.E., Otto G.H., Koch S. et al. A noninvasive method for rapid diagnosis for carbon monoxide poisoning. Intern. J. Emerg. Intens. Med. 2001; 5 (2): 115-121.Fife C.E., Otto G.H., Koch S. et al. A noninvasive method for rapid diagnosis for carbon monoxide poisoning. Intern. J. Emerg. Intens. Med. 2001; 5 (2): 115-121.Jarvis M.J., Russel M .A ., Saloojee Y. Expired air carbon monoxide: a simple breath test of tobacco smoke intake. Br. Med. J. 1980; 281: 484-485.Jarvis M.J., Russel M .A ., Saloojee Y. Expired air carbon monoxide: a simple breath test of tobacco smoke intake. Br. Med. J. 1980; 281: 484-485.National Institutes of Health. Global initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI Publ. No.2701. April 2001.National Institutes of Health. Global initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI Publ. No.2701. April 2001.Quanjer P.H. Standardized lung function testing. Report of the working party on standardization of lung function tests. European Community for Coal and Steel. Bull. Eur. Physiopathol. Respir. 1983; 19 (suppl. 16): 1-95.Quanjer P.H. Standardized lung function testing. Report of the working party on standardization of lung function tests. European Community for Coal and Steel. Bull. Eur. Physiopathol. Respir. 1983; 19 (suppl. 16): 1-95.Skwarski K., MacNee W., Wraith P.K. et al. Predictors of survival in patients with chronic obstructive pulmonary disease treated with longterm oxygen therapy. Chest. 1991; 100 (6): 522-527.Skwarski K., MacNee W., Wraith P.K. et al. Predictors of survival in patients with chronic obstructive pulmonary disease treated with longterm oxygen therapy. Chest. 1991; 100 (6): 522-527.Trulock E.P. Lung transplantation for chronic obstructive pulmonary disease. Ibid. 1998; 113 (4): 269S-276S.Trulock E.P. Lung transplantation for chronic obstructive pulmonary disease. Ibid. 1998; 113 (4): 269S-276S.US Surgeon General. The health consequences of smoking: chronic obstructive pulmonary disease. Washington, DC: US Department of Health and Human Services; 1984. 320.US Surgeon General. The health consequences of smoking: chronic obstructive pulmonary disease. Washington, DC: US Department of Health and Human Services; 1984. 320.Xu X., Weiss S.T ., Rijcken B., Schonten J.P. Association of smoking and changes in smoking habits with rate of decline in FEVj: new insight into gender differences. Eur. Respir. J. 1994; 7: 1056-1061.Xu X., Weiss S.T ., Rijcken B., Schonten J.P. Association of smoking and changes in smoking habits with rate of decline in FEVj: new insight into gender differences. Eur. Respir. J. 1994; 7: 1056-1061.

The authors declare that there are no conflicts of interest present.