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来源丨Figure1 Medical Cases 文章已获授权 阅读经典病例，讨论临床见闻 欢迎在评论区发表对病例的看法 往期病例分析： 【原文】Not all smokers are ready to quit abruptly.Nearly two-thirds of smokers gradually reduce cigarette consumption in order toquit smoking. Among those patients, approximately 44% use nicotine replacementtherapy (NRT) while simultaneously cutting back. Fast-acting nicotinereplacement agents can help alleviate withdraw symptoms as smokers reduce theircigarette consumption. 【译文】并不是所有的吸烟者都已经做好了立刻戒烟的准备，近三分之二的吸烟者通过逐渐减少每日吸烟量的方法戒烟，其中约44%的人选择同时搭配使用尼古丁代替疗法（NRT）的方法进行戒烟，速效尼古丁替代剂可以帮助缓解由于减少吸烟数量而引起的戒断症状。 [discussion] In your practice, do you recommend gradualcessation in combination with NRT? 【讨论】根据你的经验，你是否赞成通过减少吸烟数量搭配尼古丁代替疗法以达到戒烟目的的方法？ 【原文】A 46-year-old male states that he has beensmoking approximately 20 cigarettes per day since he was 16. He has attamptedto quit many times by using e-cigarette, but has not been successful. Hementions that he finds it difficult to abstain for more than a few days becausehe feels irritable without cigarettes and because his wife continues to smoke.After a diagnosis of hypertension and hypercholesterolemia, he wishes to quitfor “healthy reasons”. He has low confidence and is not sure if he can set aquit date within the next 30 days. 【译文】男性，46岁，每日吸烟近20支，16岁至今持续30年。他曾多次通过电子香烟来戒烟但均未成功，他描述自己很难戒烟超过几天，戒烟会使他变得暴躁易怒，而且，他的妻子还在持续抽烟。在被诊断出高血压和高胆固醇血症后，他愿意为了健康再一次进行戒烟，但是他并不是十分的自信，且不确定自己是否能够在今后30天内定下一个戒烟日期。 [discussion] Based on your experience, which of thefollowing aids may be most effective for this patient? 【讨论】根据你的经验，如下的那些治疗方案对这个患者来说是最有效的？ A. A firmtarget date 一个明确的目标日期 B. Frequentprofessional counselling 频繁的专业咨询 C. Enlistingsocial support 寻求社会支持 D. Nicotinepatch plus inhaler 尼古丁贴片加吸入治疗 【原文】A 55-year-old female presents with concernsabout her own cardiovascular health after her sister’s recent COPD diagnosis.She has smoked one pack per day for 30 years and wants to quit. She has triedquitting with the nicotine patch buts still had cravings which she could notmanage. 【译文】女性，55岁，因其妹妹被确诊为慢性阻塞性肺疾病由于担心自己的心血管问题前来就诊，已有每日一包持续30年的吸烟史，要求戒烟。现在虽已经在使用尼古丁贴片进行戒烟，但仍有自己所控制不了的强烈的烟瘾。 [discussion] Which of the following smoking cessationaids might be the best choice for her next quit attempt? 【讨论】下列哪个戒烟治疗途径是她下一次尝试所最需要的？ A. Nicotinepatch alone 单纯尼古丁贴片治疗 B.Combination nicotine patch + oral format 尼古丁贴片和口服药物结合治疗 C.Behavioral therapy alone 单纯行为治疗 D.Varencline + NRT 戒必适+尼古丁贴片
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来自： 昵称70934705 > 《待分类》
