[1]杨 光,滕 尧,马 芳,等.吸烟对血常规指标的影响[J].医学信息,2021,34(03):99-101,107.[doi:10.3969/j.issn.1006-1959.2021.03.028]
 YANG Guang,TENG Yao,MA Fang,et al.The Influence of Smoking on Blood Routine Index[J].Medical Information,2021,34(03):99-101,107.[doi:10.3969/j.issn.1006-1959.2021.03.028]
点击复制

吸烟对血常规指标的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年03期
页码:
99-101,107
栏目:
论著
出版日期:
2021-02-01

文章信息/Info

Title:
The Influence of Smoking on Blood Routine Index
文章编号:
1006-1959(2021)03-0099-04
作者:
杨 光滕 尧马 芳
(1.大连医科大学检验医学院,辽宁 大连 116044; 2.大连美年大健康体检中心,辽宁 大连 116013)
Author(s):
YANG GuangTENG YaoMA Fanget al.
(1.School of Laboratory Medicine,Dalian Medical University,Dalian 116044,Liaoning,China; 2.Dalian Meinian Health Examination Center,Dalian 116013,Liaoning,China)
关键词:
血常规定量吸烟指数尼古丁生物标志
Keywords:
Blood routine quantificationSmoking indexNicotineBiomarker
分类号:
R446.11+1
DOI:
10.3969/j.issn.1006-1959.2021.03.028
文献标志码:
A
摘要:
目的 分析吸烟对血常规指标的影响。方法 选取大连市美年大健康体检中心2019年4月4日~4月10日男性体检人员45人为研究对象,将其中吸烟指数大于200(每日吸烟支数与吸烟年数之积)的18人为吸烟组,不吸烟27人为对照组,比较两组静脉血标本中尼古丁含量、血常规指标,并采用Logistic多因素分析吸烟对血常规指标的影响。结果 吸烟组尼古丁含量高于对照组[7.33(0.10,37.78)ppb vs 0.10(0.10,9.28)ppb],差异有统计学意义(P<0.05);吸烟组中值细胞数高于对照组,差异有统计学意义(P<0.05),其他各指标组间比较,差异均无统计学意义(P>0.05)。多因素Logistic回归分析显示,吸烟对血常规指标有影响,其影响的顺序依次是红细胞、淋巴细胞数、平均血红蛋白量、平均血小板体积、中值细胞比率、中性细胞比率、平均血红蛋白浓度。结论 吸烟对血常规指标有影响,血常规检测指标可以作为吸烟标志,可适用于体检人群是否吸烟的筛查和相关研究。
Abstract:
Objective To analyze the influence of smoking on blood routine indexes.Methods A total of 45 male medical examiners from the Dalian Meinian Health Examination Center from April 4th to April 10th, 2019 were selected as the research subjects, and 18 persons with a smoking index greater than 200 (the product of the number of cigarettes per day and the number of years of smoking) in the smoking group, 27 non-smokers served as the control group.The nicotine content and blood routine indexes in the venous blood samples of the two groups were compared, and the Logistic multi-factor analysis was used to analyze the influence of smoking on blood routine indexes.Results The nicotine content of the smoking group was higher than that of the control group [7.33 (0.10, 37.78) ppb vs 0.10 (0.10, 9.28) ppb], the difference was statistically significant (P<0.05);The median cell number in the smoking group was higher than that in the control group,the difference was statistically significant (P<0.05).There was no statistically significant difference among the other index groups (P>0.05).Multivariate Logistic regression analysis showed that smoking has an effect on blood routine indicators, and the order of its effect is red blood cells, lymphocyte number, average hemoglobin volume, average platelet volume, median cell ratio, neutrophil ratio, and average hemoglobin concentration.Conclusion Smoking has an impact on blood routine indicators, blood routine test indicators can be used as smoking signs, and can be used for screening and related research on whether people smoke in physical examination.

参考文献/References:

[1]Liu S,Mei Z,Ling Y,et al.Prevalence and patterns of tobacco smoking among Chinese adult men and women:findings of the 2010 national smoking survey[J].J Epidemiol Community Health,2017,71(2):154-161. [2]杜立梅,何士杰,景卫革,等.主动吸烟和被动吸烟对健康女性肺功能的影响[J].检验医学与临床,2019,16(8):1034-1036. [3]Iversen C.Now or never:smoking cessation discussions in the face of serious illness[J].Sociol Health Illn,2017,39(8):1330-1348. [4]Jradi H,Al -Shehri A.Knowledge about tobacco smoking among medical students in Saudi Arabia:Findings from three medical schools[J].J Epidemiol Glob Health,2014,4(4):269-276. [5]邓雅丽,刘晓芬,何莹,等.北京市房山区居民吸烟行为的调查分析[J].中国慢性病预防与控制,2019,27(7):528-532. [6]赵桂凤,董娇,杨丽芳,等.慢性呼吸系统疾病吸烟患者戒烟方法的探讨[J].大理学院学报,2014,13(4):76-77,80. [7]Clarke R,Bennett DA.Mendelian randomization study of tobacco smoking and cardiovascular risk factors:hazards of tobacco smoking greatly outweigh any benefits[J].Int J Epidemiol,2014,43(5):1471-1472. [8]卢艳华,张玲,梅欣,等.武汉市农村居民烟草危害认知及室内公共场所禁烟态度[J].中国公共卫生,2018,34(5):625-628. [9]王欢,李予林,陈志军,等.女性原发性肺癌的流行病学特征及其危险因素研究[J].现代实用医学,2018,30(11):1433-1436. [10]张宁,张贤,周谦君.上海社区65岁以上居民肺癌危险因素现况调查[J].中国全科医学,2018,21(36):4489-4501. [11]方益荣,马岩,许树红,等.肺癌危险因素的病例对照研究[J].预防医学,2019,31(7):649-652. [12]李玉,肖新华,黎明,等.父母吸烟对儿童青少年糖代谢的影响:北京儿童青少年代谢综合征研究[J].中华糖尿病杂志,2019,11(8):524-529. [13]张永明,贾漫漫,周彩虹,等.北方医学院校研究生对烟草危害认知的网络调查[J].中国肿瘤,2018,27(5):338-342. [14]马丽娜,罗彦,周亮,等.湖北省农村居民吸烟行为、二手烟暴露及危害认知现状分析[J].现代预防医学,2019,46(17):3166-3170. [15]李纯,王丽敏,黄正京,等.中国2013年成年人二手烟暴露水平及相关危害认知情况调查[J].中华流行病学杂志,2017,38(5):572-576. [16]马建松,陈志华,刘邦,等.中国西南边疆少数民族地区吸烟及危害认知调查分析[J].中国健康教育,2018,34(8):689-693. [17]Sharma M,Khubchandani J,Nahar VK.Applying a new theory to smoking cessation:case of multi-theory model(MTM)for health behavior change[J].Health Promot Perspect,2017,7(2):102-105. [18]王呈章,高立冬,胡世雄,等.湖南省疾控机构在职工作人员吸烟行为现状及影响因素分析[J].实用预防医学,2019,26(12):1513-1516. [19]彭欢欢,刘莎,陈璐,等.吸烟对40岁以上人群的肺功能的影响[J].国际呼吸杂志,2017,37(14):1073-1077. [20]朱建俊.呼吸科患者戒烟教育与管理存在问题的调差研究[J].中国预防医学杂志,2019,20(6):501-504. [21]吴敏解,胡良峰,缪滢,等.年龄和性别对健康人群红细胞参数的影响[J].中国卫生检验杂志,2016,26(11):1619-1621. [22]郭斌,谢宁,刘文,等.川东北地区血常规参考范围的确定及其与国家标准差异的比较研究[J].国际检验医学杂志,2015, (22):3255-3256.

更新日期/Last Update: 1900-01-01