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电子尼古丁传送系统:戒烟之终章还是只是一种新型花哨香烟?

Electronic Nicotine Delivery System: End to Smoking or Just a New Fancy Cigarette.

作者信息

Kotewar Samrudhi S, Pakhale Aayushi, Tiwari Rupali, Reche Amit, Singi Shriya R

机构信息

Department of Public Health Dentistry, Sharad Pawar Dental College ad Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.

Department of Oral Pathology and Microbiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2023 Aug 13;15(8):e43425. doi: 10.7759/cureus.43425. eCollection 2023 Aug.

DOI:10.7759/cureus.43425
PMID:37706142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10497069/
Abstract

Smoking and tobacco chewing are the predominant causes of oral cancer. Tobacco is the second-most widely consumed psychoactive substance. There are numerous ways to quit smoking, of which one is electronic cigarettes (e-cigarettes). E-cigarette use is a brand-new, global trend. E-cigarette is a battery-operated device that heats a liquid to create a vapor that the consumer inhales. Several countries have acknowledged that the first step toward electronic nicotine delivery system (ENDS) management is a precise classification of ENDS within the limits of current legislation. Countries have currently categorized ENDS into four generations. People's perceptions about tobacco products have altered recently as a consequence of the advertising of ENDS. The likelihood of starting to smoke cigarettes was four times higher in adolescents who used ENDS, and the probability of quitting was reduced and often prolonged in those who used ENDS. In addition, ENDS normalizes smoking-like actions including inhaling in and exhaling smoke. Adverse marketing via geographic locations and social media platforms, as well as nicotine's irreversible effects on growing adolescent and young adult brains that predispose individuals to addicted behaviors, may be responsible for their rising appeal among teenagers. Despite this, ENDS use has risen among young individuals who have never smoked and undoubtedly face more health risks than those who do not use ENDS. The oral cavity is the first to encounter ENDS in individuals and where it initially affects the human system. As a known contributor to cardiovascular diseases, neurological conditions, and cancers, nicotine seems to be a serious cause for concern. This review provides a concise summary of the research on the components, mode of action, applications, and effects of e-cigarettes on oral as well as systemic systems.

摘要

吸烟和嚼烟草是口腔癌的主要病因。烟草是消费最为广泛的第二大精神活性物质。戒烟的方法有很多种,其中一种是电子烟。使用电子烟是一种全新的全球趋势。电子烟是一种由电池供电的装置,它加热一种液体以产生供消费者吸入的蒸汽。几个国家已经认识到,对电子尼古丁传送系统(ENDS)进行管理的第一步是在现行法律范围内对ENDS进行精确分类。各国目前已将ENDS分为四代。由于ENDS的广告宣传,人们对烟草产品的认知最近发生了变化。使用ENDS的青少年开始吸烟的可能性高出四倍,而使用ENDS的人戒烟的可能性降低,而且戒烟过程往往会延长。此外,ENDS使类似吸烟的行为正常化,包括吸入和呼出烟雾。通过地理位置和社交媒体平台进行的不良营销,以及尼古丁对青少年和青年正在发育的大脑产生的不可逆转的影响,使这些人易患成瘾行为,可能是其在青少年中吸引力不断上升的原因。尽管如此,从未吸烟的年轻人中使用ENDS的人数有所增加,而且毫无疑问,他们面临的健康风险比不使用ENDS的人更多。口腔是人体最先接触ENDS的部位,也是ENDS最初影响人体系统的部位。作为心血管疾病、神经疾病和癌症的一个已知诱因,尼古丁似乎是一个严重令人担忧的问题。本综述简要总结了关于电子烟的成分、作用方式、应用以及对口腔和全身系统影响的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74cf/10497069/4d0e4b0ff448/cureus-0015-00000043425-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74cf/10497069/4d0e4b0ff448/cureus-0015-00000043425-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74cf/10497069/4d0e4b0ff448/cureus-0015-00000043425-i01.jpg

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The prevalence of xerostomia among e-cigarette or combustible tobacco users: A systematic review and meta-analysis.电子烟或可燃烟草使用者中口干症的患病率:一项系统评价和荟萃分析。
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