口服大麻素对睡眠和失眠的高密度EEG的急性影响:试点随机对照试验
Anastasia Suraev1,2,3,4, Iain S McGregor2,3,4, Danielle McCartney2,3,4
1Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, Macquarie University, Sydney, New South Wales, Australia.
Journal of sleep research
|July 9, 2025
概括
像THC和CBD这样的大麻素可能会改变睡眠结构,显著减少REM睡眠. 然而,单剂量并没有影响失眠患者第二天的警觉或表现.
科学领域:
- 神经科学是一个神经科学.
- 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:
- 类药物,包括Δ9-四基大麻 (THC) 和大麻 (CBD),越来越多地被用于睡眠障碍.
- 它们对睡眠架构和随后的白天功能的精确影响需要进一步研究.
研究的目的:
- 研究单次口服THC/CBD剂量对失眠症患者客观睡眠结果和第二天警觉性的影响.
- 用高密度电脑图 (EEG) 来分析睡眠结构的变化.
主要方法:
- 一项试点试验涉及20名被诊断患有失眠障碍的患者.
- 单次口服10毫克THC和200毫克CBD (THC/CBD) 或安慰剂的剂量.
- 使用256通道高密度EEG进行客观睡眠评估,并评估第二天的警觉性和表现.
主要成果:
- THC/CBD显著减少了总睡眠时间和REM睡眠,同时增加了REM睡眠延迟.
- 脑电图分析显示,在N2,N3和REM睡眠阶段,区域大脑活动发生变化.
- 没有观察到客观警觉,认知表现或模拟驾驶的显著变化,尽管自我报告的嗜睡略有增加.
结论:
- 单剂量THC/CBD急剧影响睡眠结构,特别是通过抑制REM睡眠.
- 结果表明,尽管有主观的嗜睡,但在治疗后大约9小时内,客观的功能指标的第二天受损程度有限.
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