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吸烟增加2019冠状病毒病感染风险的机制:一项叙述性综述

Mechanisms in Which Smoking Increases the Risk of COVID-19 Infection: A Narrative Review.

作者信息

He Yue, Sun Jian, Ding Xiaoqian, Wang Qiang

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

出版信息

Iran J Public Health. 2021 Mar;50(3):431-437. doi: 10.18502/ijph.v50i3.5582.

Abstract

At present, COVID-19 continues to spread around the world. People are generally susceptible to SARS-CoV-2. The elderly, serious chronic underlying diseases, high-risk pregnancy, severe obesity and other factors are related to the progression of COVID-19 to severe, critical illness, and even death caused by deterioration of the disease. The relationship between smoking and COVID-19 seems to be controversial. The smoking rate of hospitalized COVID-19 patients is significantly lower than that of the general population. Therefore, smoking can reduce COVID-19 infection and protect the respiratory tract. Subsequently, many scholars have carried out research on this, thinking that this is a wrong and misleading conclusion. According to WHO, smoking is significantly related to the severity of COVID-19, which is one of the important risk factors for the deterioration and poor prognosis of COVID-19. This article reviews the mechanism of smoking increasing the risk of COVID-19 infection.

摘要

目前,新型冠状病毒肺炎(COVID-19)仍在全球范围内持续传播。人群对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)普遍易感。老年人、严重慢性基础疾病、高危妊娠、重度肥胖等因素与COVID-19进展为重症、危重症甚至因病情恶化导致死亡有关。吸烟与COVID-19之间的关系似乎存在争议。COVID-19住院患者的吸烟率显著低于普通人群。因此,吸烟可降低COVID-19感染并保护呼吸道。随后,许多学者对此展开研究,认为这是一个错误且具有误导性的结论。根据世界卫生组织(WHO)的说法,吸烟与COVID-19的严重程度显著相关,是COVID-19病情恶化及预后不良的重要危险因素之一。本文综述吸烟增加COVID-19感染风险的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b6/8214602/304285cd9c6b/IJPH-50-431-g001.jpg

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