对于阻塞性睡眠呼吸暂停的类大麻素:一个系统的审查
Paul M Boylan1, Melissa Santibañez2, Jennifer Thomas3
1University of Oklahoma Health Sciences College of Pharmacy, Oklahoma City, Oklahoma, USA.
Pharmacotherapy
|November 5, 2024
概括
大麻素显示出治疗阻塞性睡眠呼吸暂停 (OSA) 的潜力,改善睡眠和呼吸暂停指数. 然而,有限的长期数据和频繁的副作用要求谨慎,需要更多的研究.
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) 是一种常见的睡眠障碍.
- 正在探索大麻素作为OSA的潜在治疗选择.
研究的目的:
- 系统地审查大麻素治疗阻塞性睡眠呼吸暂停的疗效和安全性.
- 评估当前关于大麻素在管理OSA症状和结果方面的证据.
主要方法:
- 实验和观察研究的系统审查.
- 搜索了多个数据库,包括MEDLINE,EMBASE,Scopus,PsycINFO和国际制药摘要.
- 包括九项研究 (五项全文,四项摘要) 评估了dronabinol或大麻.
主要成果:
- 九项研究中有八项报告了OSA结果的显著改善,例如减少呼吸暂停-呼吸暂停指数和更好的白天嗜睡.
- 常见的不良事件包括神经精神和胃肠道问题,影响了70-80%的参与者.
- 研究的持续时间很短,平均只有3周.
结论:
- 大麻素表明在短期内对OSA治疗具有潜在的有效性.
- 缺乏长期安全性和有效性数据,加上频繁的不良事件,限制了当前的建议.
- 进一步的大规模,长期试验至关重要,以充分评估OSA及其并发症的大麻素治疗.
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