在上呼吸道使用电子烟的毒理影响:一个范围审查
Cameron P Worden1, Kayla B Hicks1, Trevor G Hackman1
1Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
电子烟 (e-cigarettes) 显示出明显的上呼吸道毒性,香料和尼古丁放大了效果. 虽然不如传统香烟有害,但它们对上呼吸道的影响需要进一步研究.
科学领域:
- 毒理学 毒理学 毒理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
背景情况:
- 新出现的证据强调电子烟 (电子烟) 对肺部的负面健康影响.
- 关于电子烟对上呼吸道有害影响的研究有限.
研究的目的:
- 总结电子烟及其成分对上呼吸道的毒理影响.
主要方法:
- 从2003年到2023年,在PubMed,SCOPUS和EMBASE数据库中进行了系统的搜索.
- 包括调查电子烟暴露对人类或动物上呼吸道组织的毒理影响的研究.
- 根据PRISMA指南,两位作者独立选,审查和评估了所有包含的文章.
主要成果:
- 53项研究符合纳入标准,检查了包括口腔,鼻腔/鼻,喉,气管和口腔在内的子部位.
- 通常观察到的后果包括促炎性,组织学,细胞毒性,基因毒性和前致癌性影响.
- 电子烟的湿剂诱导毒性,由调味剂和/或尼古丁放大. 电子烟蒸汽总体上显示上呼吸道毒性低于传统香烟烟雾.
结论:
- 电子烟具有独特的毒理特征,通常不如传统香烟有害,但香料和/或尼古丁可以增强.
- 需要对未经检查的上呼吸道子部位进行进一步的研究,例如口腔大喉和下喉.
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