Zusammenfassung
Der Raucheranteil in der deutschen Bevölkerung beträgt etwa 30 %. Über die Hälfe der
regelmäßigen Zigarettenraucher sterben an den Folgen des Rauchens, und die Lebenserwartung
von Rauchern ist im Vergleich zu derjenigen von Nichtrauchern um 10 Jahre reduziert.
Tabakrauchen ist der wesentliche Risikofaktor für das Bronchialkarzinom, die chronisch
obstruktive Lungenerkrankung (COPD) und begünstigt die Entstehung einer Vielzahl weiterer
Lungenerkrankungen.
Ein Entwöhnungskonzept, das sowohl pharmakologische als auch psychosoziale Unterstützung
umfasst, hat sich für COPD-Patienten als überaus effektiv erwiesen. Die Beendigung
des Tabakrauchens birgt sowohl akute Vorteile als auch längerfristige positive Effekte
auf lungenfunktionelle Parameter, Symptomatik und auf die Sterblichkeit.
Insgesamt ist die Tabakentwöhnung eine der effektivsten medizinischen Interventionen.
Sie sollte daher prioritär gefördert werden.
Abstract
More than 30 % of the German population are regular smokers, over half of whom will
eventually die of smoking-related diseases. Life expectancy is abridged by 10 years
in smokers compared to non-smokers. Smoking tobacco is the main risk factor for lung
cancer and chronic obstructive pulmonary disease (COPD) and predisposes to a number
of other lung diseases.
A smoking cessation programme including pharmacological as well as psychosocial support
is highly effective in COPD Patients. Smoking cessation improves lung function, symptoms
and mortality.
In conclusion, smoking cessation services are among the most effective medical interventions.
Thus, a sufficient supply of smoking cessation services on a population level must
be ensured.
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Prof. Stefan Andreas
Lungenfachklinik Immenhausen, Kreis Kassel
Robert Koch Straße 3
34376 Immenhausen
Email: sandreas@lungenfachklinik-immenhausen.de