精神活性物质中毒与消费者出现不良影响之间的关联
Alireza Amanollahi1, Shahin Shadnia2, Yadollah Mehrabi1
1Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Frontiers in public health
|October 12, 2023
概括
精神活性物质中毒会以不同的方式影响器官功能. 与阿片类药物或兴奋剂相比,酒精中毒与较少的肝脏和脏功能障碍有关,这增加了心血管风险和死亡率.
科学领域:
- 毒理学 毒理学 毒理学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 精神活性物质使用的全球增长需要了解中毒的不良影响.
- 鉴定中毒对特定器官的影响对于患者管理至关重要.
研究的目的:
- 调查精神活性物质中毒与对身体器官功能的不良影响之间的关联.
- 为了比较酒精,阿片类药物和兴奋剂中毒的器官功能障碍概况.
主要方法:
- 对800名精神药物中毒住院患者 (ICU和普通病房) 的回顾性分析.
- 包括标准:酒精,阿片类药物或兴奋剂中毒;可用的实验室生物标志物.
- 使用通用线性混合模型估计调整的赔率比率 (AOR) 的统计分析.
主要成果:
- 与酒精中毒相比,阿片类药物/兴奋剂中毒显示肝脏和功能障碍的发生率较低.
- 心血管功能障碍在患有阿片类药物或兴奋剂中毒的患者中明显高于酒精.
- 功能障碍对死亡率产生了更大的影响.
结论:
- 阿片类药物和兴奋剂中毒与心血管风险增加有关,而酒精中毒呈现出不同的器官功能障碍模式.
- 在对阿片类药物/兴奋剂中毒的随访期间观察到的功能障碍的发生率增加.
- 虽然男性经历了更多的器官功能障碍和死亡率,但之前的精神活性物质经验似乎有助于预防心血管问题和死亡.
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