在慢性疼痛患者中使用电子烟 (E-Cig)
John Maclean1, Skylar Remick2, Jin Woo Shim3
1Case Western Reserve University School of Medicine, Cleveland, OH.
Pain physician
|February 7, 2024
概括
慢性疼痛患者使用电子烟 (E-Cig) 与一般成年人使用相似,显示烟草,E-Cig使用和阿片类药物依赖之间存在强烈联系. 建议继续监测E-Cig与慢性疼痛和阿片类药物使用的关联.
科学领域:
- 疼痛管理 疼痛管理
- 控制烟草的控制方式
- 公共卫生 公共卫生
背景情况:
- 自2007年以来,电子烟 (E-Cigs) 的使用量有所增加,其健康风险与传统烟草产品相似.
- 疼痛和烟草使用之间存在双向联系,但电子烟对慢性疼痛和阿片类药物相关性的影响未得到充分研究.
研究的目的:
- 在慢性疼痛患者队列中评估烟草制品的使用,包括电子烟.
- 在慢性疼痛患者中调查电子烟使用与阿片类药物使用之间的相关性.
主要方法:
- 在一个城市的学术教学中心,在已建立的慢性疼痛患者中匿名进行了一项横截面调查.
- 收集的数据包括人口统计数据,烟草,香烟,电子烟和阿片类药物使用史,这些数据来自于接受治疗超过三个月的成年患者.
主要成果:
- 在接受调查的312名患者中,26.9%使用了慢性阿片类药物. 在过去,4.5%的女性和15.8%的男性报告了E-Cig的实验,其中积极使用的比例分别为0%和7.8%.
- 在慢性阿片类药物患者中,9.1%的人积极使用电子烟,他们都是男性 (20%的男性阿片类药物使用者).
结论:
- 这项研究表明,慢性疼痛患者的电子烟和香烟吸烟率与美国普通成年人群一致.
- 在这个队列中,烟草制品 (香烟和电子烟) 使用与阿片类药物使用之间观察到显著的相关性.
- 需要进一步的研究来监测电子烟使用,慢性疼痛和阿片类药物依赖之间的关系随着电子烟患病率的增加而不断变化.
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