大麻素的使用和阻塞性睡眠呼吸暂停:一个回顾性队列研究
Matthew R Veitch1,2, Sean Jairam1, Patrick Gurges1,2
1Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
概括
在一项大型研究中,大麻使用并没有显著改变阻塞性睡眠呼吸暂停 (OSA) 的严重程度. 然而,在严重的情况下,大麻使用会影响睡眠阶段,增加深度睡眠和减少REM睡眠.
科学领域:
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 缺乏有效的药物治疗方法.
- 在初步的人类研究中,大麻素显示出降低OSA严重性的潜力.
研究的目的:
- 调查自我报告的大麻使用与OSA严重程度之间的关联.
- 分析大麻对睡眠参数的影响,使用多睡眠学数据.
主要方法:
- 对接受过多睡眠扫描 (2010-2022) 的成年人进行了回顾性队列研究.
- 多变量线性回归模型根据年龄,性别,BMI,药物和并发症进行调整.
- 在中度至重度OSA患者的探索性亚组分析.
主要成果:
- 在完全调整后,大麻使用与OSA严重程度无关.
- 在中度至重度的OSA患者中,大麻使用与N3阶段睡眠的增加和REM睡眠的减少有关.
结论:
- 当考虑混因素时,大麻使用似乎不会影响整体OSA严重程度.
- 大麻使用可能会改变中度至重度OSA患者的睡眠结构.
- 需要进一步的研究来探索这些睡眠架构的变化.
相关概念视频
Substance Use Disorders Affecting Sleep
167
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
167
Sedatives and Hypnotics Drugs: Miscellaneous Agents
174
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
174
Management of Insomnia
248
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
248
Insufficient Sleep and Sleep Deprivation
143
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
143
CNS Depressants: Barbiturates and Benzodiazepines
265
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
265
Sleep-Wake Cycles
1.3K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.3K


