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煙草依賴是一種慢性疾病，煙草危害是世界最嚴(yán)重的公共衛(wèi)生問題之一，吸煙和二手煙暴露嚴(yán)重危害人類健康。為此，聯(lián)合國世界衛(wèi)生組織將每年的5月31日定為“世界無煙日”，今年無煙日的主題是“煙草與心臟病”，讓我們再次直面煙草的危害以及戒煙的必要性。<BR>市民：現(xiàn)在有一部分人都喜歡在電梯里面抽煙，這是讓人很反感的一件事情<BR>市民：家里人，喜歡吸煙的人，就習(xí)慣無聊的時候吸一根煙，我跟小孩子在家，是吧，也是一個環(huán)境，還有一個就是電梯里面，經(jīng)常我們進電梯的時候，一進去就是感到到是在一個有煙的空氣環(huán)境中。<BR>和很多市民的感覺一致，記者在調(diào)查中發(fā)現(xiàn)，商場、酒店飯館、辦公場所以及車站、醫(yī)院等公共場所雖然到處可見禁煙標(biāo)志，但仍有不少煙民我行我素，吞云吐霧?！拔鼰熡泻】怠薄拔鼰熓墙】殿^號殺手”等口號提了多年，但吸煙人數(shù)未見減少，控?zé)熤芬琅f漫長。而對于公共場合吸煙者，大家雖然反感，卻很少會去勸阻。<BR>市民：家里人可以勸阻，但是如果不是很熟的人或者朋友，也不會去說，這畢竟是人家自由。<BR>市民：你去干涉他人的自由，好像不太好吧?，F(xiàn)在生活壓力大，交際各方面，有的時候吸煙也是一種排解壓力的方式吧，以前我也抽的<BR>記者：后來是怎么戒掉的<BR>市民：身體的原因吧，然后不抽了 <BR>吸煙讓血管一天天變硬<BR>無論是主動抽煙，還是被動吸二手煙，都會對人體健康造成極大的威脅。很多人知道吸煙會損傷呼吸系統(tǒng)，讓自己有個黑乎乎的肺，甚至引起肺癌，但很少有人了解煙草會讓血管在不知不覺中一天天變硬，進而導(dǎo)致心腦血管疾病。 <BR>常州二院呼吸內(nèi)科副主任醫(yī)師毛正道：心臟方面主要是，煙草的一些成分直接收縮血管了，所以會跟我們高血壓，冠心病的發(fā)病率和重病率都是相關(guān)的，甚至可能導(dǎo)致猝死。<BR>從2012年常州二院陽湖院區(qū)成立以來，院方就在呼吸內(nèi)科開設(shè)了戒煙門診，但從以往接診以及咨詢情況來看，公眾對于戒煙的積極性并不樂觀。<BR>常州二院呼吸內(nèi)科副主任醫(yī)師毛正道：通過自己努力戒不掉了，或者是想尋求我們醫(yī)生的幫助，這樣的現(xiàn)在還是相對比較少的，可能從主觀意識上來說，自己做不到，嚴(yán)格意義上來說，如果你想戒煙，肯定是從自己的最主要的主觀方面，比較重要的，有了這個基礎(chǔ)，才可能通過我們一些幫助，環(huán)境的一些幫助，或者吸煙人群的一些控制，或者其他的替代的行為方式的改變來幫助他<BR>毛醫(yī)生分析說，許多吸煙者知道吸煙的危害，也嘗試戒過煙，但多以失敗告終，甚至有吸煙者已經(jīng)罹患相關(guān)疾病，卻仍然戒不掉煙，原因很大程度上都與戒煙產(chǎn)生的戒斷反應(yīng)有關(guān)。煙草依賴帶來的戒斷反應(yīng)主要有焦慮、抑郁、易怒、注意力不集中、睡眠不好和食欲增加等，這些反常表現(xiàn)會嚴(yán)重影響到吸煙者戒煙后的日常生活，同時給身心帶來負(fù)擔(dān)。<BR>常州二院呼吸內(nèi)科副主任醫(yī)師毛正道：軀體的依賴，因為煙草里面有一些物質(zhì)，類似多巴胺的一些成分，它會刺激人產(chǎn)生輕快的感覺，還有一部分是心理依賴的，還有一部分是形成習(xí)慣了，空閑下來的時候，第一步就是找煙，已經(jīng)形成一種習(xí)慣了。<BR>雖然對煙民來說，有身體和心理的依賴，但吸煙的危害不容小覷，因此為了鼓勵廣大煙民主動戒煙，共同創(chuàng)造一個無煙環(huán)境，2016年常州市疾控中心主辦了第一屆戒煙大賽，取得了非常不錯的效果，今年又舉辦了第二屆戒煙大賽，期間產(chǎn)生的治療費用均由主辦單位和院方共同承擔(dān)，吸引了不少老煙槍前來嘗試。<BR>常州紅梅醫(yī)院中醫(yī)戒煙門診主任顧正榮：抽了有40年了，抽了40年下來，中途有沒有戒過啊/戒過/就是自己強行戒煙/戒了9個月/戒了9個月一口沒抽嗎/對/一直沒抽，那后來怎么抽了/后來交際需要/就抽著玩的抽起來.<BR>自從今年4月第二屆戒煙大賽舉辦以來，陸續(xù)有煙民找到門診部尋求戒煙幫助。<BR>煙民潘煥東：年紀(jì)輕的時候，我一天最起碼要四包煙，到五十來歲開始，身體各方面不大好了，就少抽一點，少抽一點也要兩包煙，早晨出來坐在床上一根煙，床上下來到衛(wèi)生間里面兩根，牙齒刷好又是一根。<BR>煙民周國正：上班的時候是一天一包左右，退休了以后要一包半了。<BR> 煙民薛建生：自己也想到要戒煙了，關(guān)鍵是家里面有了一個孫子，為了寶寶，本身也是為了自己，最后還要看自己毅力，反正盡可能把它戒掉。<BR>煙民陸才良：原來想戒，但是沒有這種毅力，逐步量減少，棄抽還不行，原來一天一包，減少到五根，六根，現(xiàn)在基本上停下來了。 <BR>中藥穴位貼敷法助500人成功戒煙<BR>紅梅醫(yī)院中醫(yī)戒煙門診開設(shè)于2014年8月，通過中藥貼敷穴位的治療方式幫助煙民減少甚至反感對尼古丁的依賴，從而達到戒煙效果。這是全國93家國家級戒煙門診中唯一一家用中藥穴位貼敷法幫助戒煙的門診部。<BR>煙民潘煥東：貼了這個東西以后到第四天，一根煙都不想抽了，到第五天，我出去，我到朋友家里面去的，看到人家抽煙就開始有反感了，聞到那個煙味。 <BR>常州紅梅醫(yī)院中醫(yī)戒煙門診主任顧正榮：2016年我們常州市搞了一次戒煙大賽很成功的，131個人參與戒煙大賽，成功戒煙是83個，應(yīng)該說在目前，總共加起來應(yīng)該有500人左右。<BR>顧正榮告訴記者，他們會對到門診戒煙的煙民進行尼古丁依賴評估，輕度依賴煙民可以通過自我調(diào)節(jié)達到戒煙的目的，中度和重度依賴者，才會采用藥物干預(yù)幫助。但一些煙民關(guān)于減量戒煙的想法，其實是自我安慰，并不能達到戒煙的目的。<BR>常州紅梅醫(yī)院中醫(yī)戒煙門診主任顧正榮：這種減量戒煙實際上錯的，最后還是恢復(fù)到原來一樣，甚至更多，不可能的，減量戒煙戒不了的，我們一開始抽煙的時候，每天都是一根，一根，半根，經(jīng)過兩個星期，十天左右，成癮了，所以說減量戒煙還是不成功。<BR>戒煙要頑強毅力遵循“六個不要”<BR>在顧正榮的辦公桌上有一個紙盒子，里面放滿了煙盒，都是前來戒煙的人扔掉的。顧正榮告訴每一個找到他要求幫助戒煙的人，想要成功戒煙，必須要有頑強的毅力以及壯士斷腕的決心，所以第一步，必須把隨身攜帶的香煙拋棄。<BR>常州紅梅醫(yī)院中醫(yī)戒煙門診主任顧正榮：跟煙民講，有六個不要，身邊不要放煙，家里不放煙，辦公室不放煙，轎車上不放煙，不敬煙，不陪煙，那按照這六個不要，一個星期就搞定，下面就很輕松了。<BR>常州市疾控中心健康教育所科員孫蕓：今年目前為止有三十個人左右（報名戒煙），現(xiàn)在已經(jīng)戒煙成功大概有10個左右，后期在隨訪中的也有十幾個人基本沒抽過煙，但是還沒滿一個月，我們也是希望通過媒體，你們這個渠道來呼喚更多的人遠(yuǎn)離煙草。<BR>戒煙越早，健康獲益越大，壽命延長越多。研究表明，吸煙者與不吸煙者相比，平均壽命大約減少10年；與持續(xù)吸煙者相比，戒煙者更少有疾病和殘疾。因此，戒比不戒好，早戒比晚戒好。希望全社會一起行動，讓更多的吸煙者戒煙，讓更多被動吸二手煙的人遠(yuǎn)離煙霧，控制煙草對我們身心的危害！ <BR> </td> </tr> </table> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td> <img 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