DECLINE OF THE LUNG-FUNCTION RELATED TO THE TYPE OF TOBACCO SMOKED AND INHALATION

DECLINE OF THE LUNG-FUNCTION RELATED TO THE TYPE OF TOBACCO SMOKED AND INHALATION
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DOI:
10.1136/thx.45.1.22
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发表时间:
1990-01-01
期刊:
影响因子:
10
通讯作者:
SCHNOHR, P
SCHNOHR, P
中科院分区:
医学1区
文献类型:
--
作者:
LANGE, P;GROTH, S;SCHNOHR, P

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对4372名吸烟者和3753名不吸烟者进行了五年的跟踪研究,分析了吸烟类型以及受试者是否说自己吸入了烟草对一秒用力呼气量(FEV1)下降的影响。研究样本包括1492名普通香烟吸烟者和1936名过滤香烟吸烟者,1711名切诺兹或雪茄吸烟者,以及233名男性烟斗吸烟者。在这五年中,吸烟者,特别是那些自称吸入了FEV1的人,比不吸烟者FEV1的下降率更高,后者FEV1的平均下降率女性为25毫升/年,男性为30毫升/年。滤嘴吸烟者和普通吸烟者的FEV1下降幅度没有显著差异。在所有吸烟组中,雪茄或雪茄吸烟者的FEV1下降幅度最大,并与这一组中非常高的烟草消耗量有关。在吸烟者中,吸烟者的FEV1降幅略高于吸烟者,而不吸烟者的FEV1降幅与不吸烟者相似。总体而言,自称没有吸入的吸烟者比自称吸入的吸烟者的FEV1下降幅度更小。吸入的影响在不同的吸烟组中大小不同,在烟斗吸烟者中最为明显。
Data from a five year follow up study on 4372 smokers and 3753 non-smoker were analysed to investigate the influence of the type of tobacco smoked and whether the subjects said they inhaled or not on the decline in forced expiratory volume in one second (FEV1). The study sample comprised 1492 smokers of plain cigarettes and 1936 smokers of filter cigarettes, 1711 smokers of cheroots or cigars, and 233 male pipe smokers. Over the five years, smokers, especially those who said that they inhaled, had a higher rate of decline of FEV1 than non-smokers, in whom the average decline in FEV1 was 25 ml/year for women and 30 ml/year for men. There was no significant difference in the decline in FEV1 between filter cigarette smokers and plain cigarette smokers. The decline in FEV1 in cigar or cheroot smokers was the highest for all the smoking groups, and associated with a very high tobacco consumption in this group. Among pipe smokers who inhaled, the decline in FEV1 was slightly higher than in the cigarette smokers, whereas non-inhaling pipe smokers had a decline in FEV1 that was similar to that of non-smokers. In general, the smokers who said that they did not inhale had a smaller decline in FEV1 than those who said that they did. The effect of inhalation varied in magnitude in different smoking groups, being most pronounced in pipe smokers.