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Volume 72, Issue 10 （October 2023）

麻酔 72巻10号（2023年10月発行）

Japanese English

紹介

受動喫煙と術後合併症 Effects of Passive Tobacco Smoke Exposure on the Incidence of Postoperative Complications 髙木麻美 ¹ , 大石理江子 ¹ , 多胡行揮 ¹ , 堀本龍生 ¹ , 小原伸樹 ¹ , 村川雅洋 ¹ , 井上聡己 ¹ Asami TAKAGI ¹ , Rieko OISHI ¹ , Koki TAGO ¹ , Ryusei HORIMOTO ¹ , Shinju OBARA ¹ , Masahiro MURAKAWA ¹ , Satoki INOUE ¹ ¹福島県立医科大学麻酔科学講座 ¹Department of Anesthesiology, Fukushima Medical University キーワード：喫煙 , 受動喫煙 , 術後合併症 Keyword: smoking , passive smoking , postoperative complications pp.988-992

発行日 2023年10月10日 Published Date 2023/10/10

DOI https://doi.org/10.18916/masui.2023100018

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要旨

　全身麻酔下の手術が予定されている成人を対象として，受動喫煙が術後合併症発症に与える影響を前向きに調査した。術前に受動喫煙状況についてアンケート調査を行い，患者をA群：二次喫煙あり，B群：三次喫煙あり，C群：受動喫煙なしの3群に分け，術後合併症発症の有無を比較した。二次喫煙の有無での比較では，術後合併症の発症率に有意差を認めなかった。傾向スコアマッチングを行ったあとでの比較でも有意差は認めず，ロジスティック解析でも受動喫煙は有意な因子ではなかった。成人においては小児と異なり，受動喫煙の術後合併症の発症への影響は少ない。

　Background：It has been reported that active tobacco smoking affects the development of postoperative complications such as respiratory complications and wound infections. However, little research has been conducted in Japan regarding the effects of passive smoking/tobacco smoke exposure on the perioperative period, including postoperative complications.

　Methods：Adult patients undergoing surgery under general anesthesia at our hospital in Fukushima, Japan（n＝493）were included. A questionnaire was administered to the patients before their surgeries, and based on the patients’ responses, they were divided into three groups: a secondhand-smoke group（n＝292）, a thirdhand-smoke group（n=76）, and the group of non-passive-smokers（n=125）. The incidences of surgical complications were then compared among the groups.

　Results：Our analyses revealed no significant differences in the incidences of postoperative complications between any of the groups. A logistic analysis demonstrated that passive smoking was not a significant factor for postoperative complications. In addition, when the patients were assigned based on propensity score matching, no significant differences regarding postoperative complications were identified between the two passive-smoke groups and the non-passive-smokers. Study limitations include（i）the questionnaire’s inability to assess the degree of exposure to passive smoking and（ii）the mixture of surgical procedures.

　Conclusions：We investigated the incidence of postoperative complications in surgical patients with or without passive smoke exposure. The results indicate that passive smoke exposure did not increase the rate of postoperative complications.