电子烟将成为医生帮助烟民戒烟的绝佳工具

Smoking cessation is one of general practice’s most effective interventions in the battle against cancer – and e-cigarettes could be a crucial weapon in the GP’s arsenal, according to experts at the RCGP annual conference.

根据RCGP年会的专家说,戒烟是一般做法在抗击癌症方面最有效的干预措施之一 – 电子烟可能是GP武器库中的关键武器。

All evidence points to e-cigarettes being an effective tool in helping smokers to quit, experts told the RCGP annual conference in Liverpool – but only if they are coupled with specialist support and complete cessation of tobacco use.

所有的证据表明,电子烟是帮助吸烟者戒烟的有效手段,专家们在利物浦举行的RCGP年度会议上,只有加上专家支持和完全戒烟才能使用烟草。

In a session on cancer care in general practice, GPs said smoking cessation was one of the most cost-effective ways GPs could help prevent cancer.

在一般实践中的癌症护理会议上,全科医生说戒烟是GP有助于预防癌症的最具成本效益的方法之一。

Dr Richard Roope, clinical lead for cancer at the RCGP and GP lead for Cancer Research UK, said it could save £9 for every £1 spent over a person’s lifetime in health cost savings, and every £1 spent will pay itself back within five years.

理查德·罗夫特(Richard Roope),RCGP的癌症临床主管和英国癌症研究公司的GP主管,他表示,可以节省9英镑,每一个人的一生都花费在一生中,节省了健康成本,每花费1英镑就可以在五分之内支付年份。

He warned general practice was facing a perfect storm on cancer as the population ages and life expectancy rises.

他警告说,随着人口老龄化和预期寿命的升高,一般做法正面临着癌症的完美风暴。

This is paired with lifestyles factors such as poor diet and smoking, which have helped push cancer incidence to a new milestone of 1,000 people diagnosed every day in the UK by the end of 2016.

这与生活方式因素如饮食不良和吸烟等因素配对,这些因素有助于将癌症发病率推迟到2016年底在英国每天诊断的1000人的新里程碑。

But Wandsworth GP Dr Alex Bobak, one of the first to become a GPSI in smoking cessation, warned that simply advising smokers to quit is not the best course of action.

但是,Wandsworth GP博士,最早成为全球定位系统戒烟中的其中一名,警告说,只是建议吸烟者戒烟不是最好的行动方案。

He said: ‘It’s negative – it doesn’t matter how you dress it up. It’s nagging, nothing new – and it encourages conflict and denial.

他说:“这是负面的 – 你穿什么都不重要。它是n叨的,没有什么新的 – 它鼓励冲突和否认。

‘You’re dealing with someone who is likely an addict. If you directly push a contrary view to an addict, denial will kick in and you’ve lost them. It’s frustrating, it takes longer, and it puts you off doing it again.’

“你正在和一个可能是瘾君子的人打交道。如果你直接对瘾君子提出相反的观点,拒绝会踢,你已经失去了。这是令人沮丧的,它需要更长的时间,它让你再做一次。

Smoking cessation

戒烟

Facilitating access to support from trained advisers alongside prescribing pharmacotherapy is the key to maximising success, he said.

他表示,促进受过培训的顾问获得支持,以及开处方药物治疗是最大限度地取得成功的关键。

With willpower alone, only around 3-5% of patients manage to succeed in quitting. With support from a trained adviser, this increases to 10-15%. And this doubles to 20-30% if used in combination with pharmacotherapy.

只有意志力,只有3-5%的病人才能成功戒烟。在受过培训的顾问的支持下,这增加到10-15%。如果与药物治疗结合使用,这可以达到20-30%。

‘But less than 4% of quit attempts are going through that route – which means tiny numbers are having anything like optimum treatment,’ said Dr Bobak.

Bobak博士说:“但是,不到4%的退出尝试正在经历这条路线 – 这意味着很少的数字正在获得最佳治疗。

Dr Linda Bauld, a professor of health policy at the University of Stirling, said that the current consensus favoured use of e-cigarettes as a quitting aid.

斯特林大学卫生政策教授Linda Bauld博士表示,目前的共识赞成使用电子烟作为戒烟援助。

And evidence suggests they are used almost entirely by ex-smokers and current smokers – and only very small numbers of never smokers, she said – implying they do not act as a gateway to tobacco use.

有证据表明,他们几乎完全被前吸烟者和目前的吸烟者使用 – 她们说,只有非常少数的从不吸烟者,这意味着他们不能成为烟草使用的门户。

‘The crucial message is that e-cigarettes are hugely safer than tobacco – but patients won’t realise any health benefits unless they switch entirely to vaping and stop smoking cigarettes completely,’ she said.

“关键的信息是,电子烟比烟草更安全 – 但病人不会意识到任何健康益处,除非他们彻底改变了对香烟的彻底改变和戒烟,”她说。

‘We should see very encouraging results for smoking cessation. If used every day and with high concentration, these products can help people move away from smoking.’

“我们应该看到非常令人鼓舞的结果,戒烟。如果每天都使用高浓度,这些产品可以帮助人们远离吸烟。“

Dr Bobak said e-cigarettes were a ‘phenomenal quitting aid’ – simply because patients ‘really like them’.

博博博士说,电子香烟是一个“惊人的戒烟帮助” – 只是因为病人真的喜欢他们。

‘We do not know the long-term risk – although they are likely to be minimal,’ he said. ‘But we do know short-term risks – which are minimal, and similar to NRT. Smokers want choice, and many want to use it – for goodness’ sake let them.

他说:“我们不知道长期的风险 – 虽然这些风险很小。“但是我们知道短期风险 – 这是最小的,和NRT类似。吸烟者想要选择,许多人想要使用它 – 为了善良,让他们。

‘It’s a fantastic opportunity, but not being used right. It’s not been given with support, and 40% use e-cigarettes alongside smoking. We should be clear that you use them with absolute cessation of combustible tobacco.’

“这是一个绝妙的机会,但没有被正确使用。没有给予支持,40%的人使用电子烟和吸烟。我们应该清楚,您可以绝对停止使用可燃烟草。“

Dr Roope added that e-cigarettes were a ‘very exciting area’ and ‘will have a huge role to play in cessation in the future’.

Roope博士补充说,电子烟是一个非常令人兴奋的地方,“将来将会在停止中发挥巨大的作用”。