古绍市吸食鼻烟成瘾者血液样本中肝肾参数含量的调查

Auwalu Muttaka, Jafar Usman
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摘要

在尼日利亚,干鼻烟的使用在农村和城市地区的各个年龄段都有相当大的普及。这是由于各种尚未得到科学证实的民族文化信仰造成的。很多人没有意识到鼻烟对健康的负面影响,如肝肾功能衰竭、血压升高、口腔癌发病几率增高等。人们对本地鼻烟对吸食鼻烟者的肝毒性和肾毒性知之甚少。本研究以鼻烟成瘾者为对象,评估本地鼻烟的肝毒性和肾毒性。研究中使用的 150 人分为三组,每组 50 人。第一组为对照组,包括从不吸食鼻烟的人;第二组和第三组包括吸食鼻烟成瘾的人,年龄分别为 18 至 30 岁和 30 岁以上。肝毒性研究显示,与对照组相比,第二组和第三组的谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆红素(Total Bilirubin)和直接胆红素(Direct Bilirubin)的浓度有显著增加(P<0.05)。第三组的谷丙转氨酶、谷草转氨酶、总胆红素和直接胆红素浓度也明显高于第二组(p<0.05)。与对照组相比,第二组和第三组的总蛋白和白蛋白浓度明显下降(P<0.05)。肾毒性研究表明,与对照组相比,第二组和第三组的肌酐浓度明显升高(P<0.05)。第三组的肌酐浓度甚至明显高于第二组。与对照组相比,第二组和第三组的尿素、钠、钾和氯的浓度明显下降(p<0.05)。这项研究的结论是,吸食鼻烟会对健康造成危害(肝中毒和肾中毒)。
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Investigation of Hepatic and Renal Parameters Content in Blood Samples of Snuff Addicted Individuals in Gusau Metropolis
In Nigeria, the use of dry nasal snuff is spreading considerably throughout all age groups in both rural and urban areas. This is due to various ethno-cultural beliefs that have not been scientifically confirmed. Various people do not realize the negative impact of snuff on one's health, such as liver and kidneys failure, elevation of blood pressure, and a higher chance of oral cancer. The hepatotoxicity and nephrotoxicity of the local nasal snuff on snuff addicted individual was poorly understood. This study was carried out on snuff addicted individuals to assess hepatotoxicity and nephrotoxicity of the local nasal snuff. One hundred and fifty individuals used in the study were group into three of fifty people each. Group one served as a control which include individuals who never use snuff, Groups two and three comprise individuals who are addicted to snuff, with ages ranging from 18 to 30, and above thirty, respectively. The hepatotoxicity study revealed that, there were significant (p<0.05) increase in concentration of  ALT, AST, Total Bilirubin and Direct Bilirubin of group two and group three compared with control. The concentration of ALT, AST, Total Bilirubin and Direct Bilirubin of group three were also significantly (p<0.05) higher than that of group two. While there were significant (p<0.05) decrease in concentration of total protein and albumin in group two and three compared with control. The nephrotoxicity study revealed that, there were significant (p<0.05) increase in concentration of creatinine of group two and group three compared with control. The concentration of creatinine in group three was even significantly higher than that of group two. Whereas, there were significant (p<0.05) decrease in concentration of Urea, Sodium, Potassium and Chlorine in group two and three compared with control. This study was concluded that, there was health risks (Hepatotoxicity and Nephrotoxicity) associated with snuff addiction.
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