目前在美国癌症患者中使用大麻和治疗疼痛
Jessica L Krok-Schoen1, Jesse J Plascak2, Alison M Newton3
1School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, OH, USA.
概括
大麻使用在接受积极治疗的癌症患者中更为常见,并且与癌症相关的疼痛有关. 这表明在瘤病患者的治疗状态,疼痛和药用大麻使用之间存在联系.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 大麻研究 大麻研究
背景情况:
- 以前对癌症患者大麻使用的全国性研究没有根据治疗状态进行区分.
- 治疗状态可以显著影响癌症患者的症状负担.
- 疼痛是癌症患者使用大麻的关键原因之一,但其相关性尚未得到充分研究.
研究的目的:
- 调查癌症患者中大麻使用的流行情况.
- 检查大麻使用,癌症治疗状态和与癌症相关的疼痛之间的关系.
主要方法:
- 分析了5523名来自行为风险因素监测系统的受访者,他们有癌症史.
- 大麻使用的调查加权流行比例,按癌症治疗状况分层.
- 回归模型用于估计与癌症相关的疼痛和大麻使用的几率比率 (ORs) 和95%置信区间 (CI).
主要成果:
- 在接受主动治疗的患者中,大麻使用率高于接受主动治疗的患者 (9.3%),而不是那些接受主动治疗的患者 (6.2%).
- 接受积极治疗的患者更有可能使用大麻用于医疗目的 (71.6%与50.0%相比).
- 患有医疗控制或不受控制的癌症相关疼痛的人与没有疼痛的人相比,使用大麻的可能性是两倍.
结论:
- 癌症患者使用大麻似乎与他们的治疗状况有关,并且与癌症相关的疼痛有关.
- 需要进一步的研究来探索大麻使用,症状负担和整个癌症护理连续的治疗方案.
- 结果可能会为未来的干预措施提供信息,以管理癌症患者的症状和治疗副作用.
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