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哮喘青少年中的电子烟使用:是时候直面这个显而易见的问题了。

Vaping in Asthmatic Adolescents: Time to Deal with the Elephant in the Room.

作者信息

Chatziparasidis Grigorios, Kantar Ahmad

机构信息

Primary Cilia Dyskinesia Unit, School of Medicine, University of Thessaly, 41110 Thessaly, Greece.

Pediatric Asthma and Cough Centre, Gruppo Ospedaliero San Donato, Bergamo and University Vita Salute San Raffaele, 24046 Milano, Italy.

出版信息

Children (Basel). 2022 Feb 24;9(3):311. doi: 10.3390/children9030311.

DOI:10.3390/children9030311
PMID:35327682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8947668/
Abstract

Adolescence is a period characterized by developmental, psychological, and psychosocial alterations, with a major impact on youths' attitudes and perceptions. Adolescents with asthma may not comply with treatment and may develop risky behaviors, including smoking, vaping, and other substance use, leading to unanticipated exacerbations and consequences. Vaping has become extremely popular in this age group, and studies have suggested that it has potential adverse effects on asthmatic airways. More well-designed studies are needed to confirm the initial worrying data, and action must be taken by both medical officers and health authorities to deal with the elephant in the room and curb the vaping pandemic. The aim of this paper is to provide a review of the current knowledge regarding the effect of vaping on adolescents with asthma and to propose actions to restrain this fast-growing trend.

摘要

青春期是一个以发育、心理和社会心理变化为特征的时期,对青少年的态度和认知有重大影响。患有哮喘的青少年可能不遵守治疗方案,并且可能会养成危险行为,包括吸烟、吸电子烟和使用其他物质,从而导致意外的病情加重和后果。吸电子烟在这个年龄组中变得极其流行,并且研究表明它对哮喘气道有潜在的不利影响。需要更多设计完善的研究来证实这些初步令人担忧的数据,并且医务人员和卫生当局都必须采取行动来应对这个棘手的问题并遏制电子烟的流行。本文的目的是综述关于吸电子烟对哮喘青少年影响的现有知识,并提出行动建议以抑制这一快速增长的趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af6/8947668/fbfe8ad9dfba/children-09-00311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af6/8947668/fbfe8ad9dfba/children-09-00311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5af6/8947668/fbfe8ad9dfba/children-09-00311-g001.jpg

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本文引用的文献

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E-cigarette users are associated with asthma disease: A meta-analysis.电子烟使用者与哮喘病有关:一项荟萃分析。
Clin Respir J. 2021 May;15(5):457-466. doi: 10.1111/crj.13346. Epub 2021 Mar 15.
2
Protecting youth from the vaping epidemic.保护青少年远离电子烟的危害。
Pediatr Allergy Immunol. 2020 Nov;31 Suppl 26:66-68. doi: 10.1111/pai.13348.
3
E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) Mimicking COVID-19 Disease.模仿新冠肺炎疾病的电子烟或雾化产品使用相关肺损伤(EVALI)
Case Rep Pulmonol. 2020 Nov 1;2020:8821289. doi: 10.1155/2020/8821289. eCollection 2020.
4
Use of electronic cigarettes and secondhand exposure to their aerosols are associated with asthma symptoms among adolescents: a cross-sectional study.使用电子烟和二手电子烟气溶胶会导致青少年出现哮喘症状:一项横断面研究。
Respir Res. 2020 Nov 16;21(1):300. doi: 10.1186/s12931-020-01569-9.
5
Associated factors for depression, suicidal ideation and suicide attempt among asthmatic adolescents with experience of electronic cigarette use.有电子烟使用经历的哮喘青少年中抑郁、自杀意念及自杀未遂的相关因素。
Tob Induc Dis. 2020 Oct 16;18:85. doi: 10.18332/tid/127524. eCollection 2020.
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E-cigarette or Vaping Product Use-Associated Lung Injury Presenting as Sub-Acute Hypoxemia Without Increased Work of Breathing.以亚急性低氧血症为表现且呼吸功未增加的电子烟或雾化产品使用相关肺损伤
Cureus. 2020 Aug 18;12(8):e9855. doi: 10.7759/cureus.9855.
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Vaping induced severe respiratory disease outbreak: What went wrong?电子烟引发的严重呼吸道疾病爆发:哪里出了问题?
Lancet Respir Med. 2019 Dec;7(12):1014-1015. doi: 10.1016/s2213-2600(19)30350-9. Epub 2019 Oct 9.
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In utero Exposure to Nicotine Containing Electronic Cigarettes Increases the Risk of Allergic Asthma in Female Offspring.子宫内暴露于含尼古丁电子烟会增加雌性后代患过敏性哮喘的风险。
Am J Physiol Lung Cell Mol Physiol. 2020 Aug 12. doi: 10.1152/ajplung.00230.2019.
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Ethnic disparities in the e-cigarette use epidemic and childhood asthma in the US.美国电子烟使用流行趋势与儿童哮喘方面的种族差异。
Pediatr Pulmonol. 2020 Oct;55(10):2498-2500. doi: 10.1002/ppul.24971. Epub 2020 Jul 27.
10
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