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[戒烟计划的多样化——电子烟的作用]

[Diversification of smoking cessation programmes-the role of e-cigarettes].

作者信息

Stöver Heino

机构信息

Institut für Suchtforschung Frankfurt (ISFF), Frankfurt University of Applied Sciences, Nibelungenplatz 1, 60318, Frankfurt am Main, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Nov;64(11):1473-1479. doi: 10.1007/s00103-021-03435-5. Epub 2021 Oct 12.

Abstract

The question of whether e‑cigarettes are a useful tool for smoking cessation is part of an ongoing and highly controversial scientific debate. In practice, however, the number of people trying to quit tobacco consumption by using these products is steadily increasing. This discussion article provides an outline of the current state of research on the issue of whether and to what extent e‑cigarettes can help people quit smoking.Of course, e‑cigarettes also have a certain potential for harm, especially if nicotine dependence is unnecessarily prolonged. Nevertheless, it can make an important contribution to harm reduction in nicotine consumption. Hence, the product should get treated as a serious alternative to nicotine replacement therapies (NRTs) in the scientific discussion. Like NRTs, e‑cigarettes offer a less harmful way of consuming nicotine that greatly reduces many of the health risks associated with tobacco consumption, such as the absorption of carcinogenic substances. Recent studies and reviews suggest that the product can be at least as effective as nicotine replacement therapies in helping people quit smoking. Individual studies even demonstrate the increased effectiveness of e‑cigarettes in supporting smoking cessation.Nevertheless, the review of the current literature shows that more high-quality research is needed to further understand the product and its properties. In terms of the harm reduction approach, however, it would already be more appropriate to also rely on e‑cigarettes instead of trying to force immediate and complete nicotine abstinence. After all, in the process of quitting smoking, the fastest possible cessation of the more unhealthy consumption of tobacco should be prioritized in order to immediately minimize unnecessary health risks.

摘要

电子烟是否是戒烟的有用工具这一问题是正在进行且极具争议的科学辩论的一部分。然而,在实际中,试图通过使用这些产品来戒烟的人数正在稳步增加。这篇讨论文章概述了关于电子烟是否以及在多大程度上能够帮助人们戒烟这一问题的当前研究状况。当然,电子烟也存在一定的潜在危害,尤其是如果尼古丁依赖被不必要地延长。尽管如此,它可以对减少尼古丁消费的危害做出重要贡献。因此,在科学讨论中,该产品应被视为尼古丁替代疗法(NRTs)的一种严肃替代方案。与NRTs一样,电子烟提供了一种危害较小的尼古丁消费方式,极大地降低了许多与烟草消费相关的健康风险,例如致癌物质的吸收。最近的研究和综述表明,该产品在帮助人们戒烟方面至少与尼古丁替代疗法一样有效。个别研究甚至证明了电子烟在支持戒烟方面效果更佳。然而,对当前文献的综述表明,需要更多高质量的研究来进一步了解该产品及其特性。然而,就减少危害的方法而言,依赖电子烟而不是试图强制立即完全戒除尼古丁已经更为合适。毕竟,在戒烟过程中,应优先尽快停止更不健康的烟草消费,以便立即将不必要的健康风险降至最低。

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