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代谢和减肥手术前后使用大麻:文献综述
Kasey P S Goodpaster1, Rheanna Ata Brown1, Amanda M Van Prooyen2
1Cleveland Clinic Bariatric & Metabolic Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
概括
大麻使用不是代谢和减肥手术 (MBS) 的绝对禁忌,但活性大麻使用障碍需要戒断. 患者应被告知潜在的风险,特别是严重使用.
科学领域:
- 代谢和腹部手术的代谢和腹部手术
- 使用大麻使用大麻使用大麻
- 公共卫生 公共卫生
背景情况:
- 增加大麻的可访问性和合法化需要对代谢和减肥手术 (MBS) 患者的最新指导.
- 关于大麻使用在MBS人群中的特定风险和结果的研究有限.
- 一个多学科的审查解决了大麻使用在MBS的医疗,营养,药物和心理方面的问题.
研究的目的:
- 对接受代谢和腹部手术 (MBS) 的患者使用大麻的当前文献进行审查.
- 提供关于大麻使用是否是一种禁忌或是否需要特定的患者建议的指导.
- 为MBS项目和患者提供有关大麻使用风险和考虑因素的信息.
主要方法:
- 对有关大麻使用和MBS结果的现有研究进行系统审查.
- 对医疗,营养,药物和心理因素的分析.
- 来自美国代谢和腹部外科协会 (ASMBS) 的专家共识.
主要成果:
- 大麻使用与大多数术后并发症无关,但与心理健康问题和饮食失调有关.
- 减肥结果显示混合的结果,在大多数研究中没有发现显著的关联.
- 严重的大麻使用与较长的住院时间和医疗并发症相关,与轻度至中度使用不同.
结论:
- 活性大麻使用障碍是MBS的禁忌,需要治疗和戒断.
- 偶尔或医用大麻的使用不是绝对的禁忌,但风险存在.
- 医疗保健计划应建立个人大麻使用协议,并确保全面的患者咨询.
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