电子烟:应用、疗效,风险和政策支持

2018/03/19

   摘要
   2000年中期,电子烟进入大众视野,部分医生、研究者以及政策制订者将其视为传统吸烟方式的安全替代方法,期待电子烟可以作为戒烟的有效方法。电子烟较传统烟草降低了致癌物质的吸入,但仍有较高浓度超细颗粒和其他毒素可以潜在增加心血管和非肿瘤性肺部疾病,而这些病因导致超过半数吸烟相关的死亡,而这一点与传统烟草并无差异。此外,与激励烟民从传统烟草向电子烟过渡或彻底戒断,电子烟则降低戒断率且扩大了青年人尼古丁消费市场。
 

(上海交通大学医学院附属瑞金医院呼吸与危重症医学科 周剑平 万欢英 摘译)

(Annu Rev Public Health. 2018 Jan 11.)

 
 
E-Cigarettes: Use, Effects on Smoking, Risks, and Policy Implications.
 
Glantz SA, Bareham DW.
 
Abstract
Since e-cigarettes appeared in the mid-2000s, some practitioners, researchers, and policy makers have embraced them as a safer alternative to conventional cigarettes and an effective way to stop smoking. While e-cigarettes deliver lower levels of carcinogens than do conventional cigarettes, they still expose users to high levels of ultrafine particles and other toxins that may substantially increase cardiovascular and noncancer lung disease risks, which account for more than half of all smoking-caused deaths, at rates similar to conventional cigarettes. Moreover, rather than stimulating smokers to switch from conventional cigarettes to less dangerous e-cigarettes or quitting altogether, e-cigarettes are reducing smoking cessation rates and expanding the nicotine market by attracting youth.
 


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