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创伤前的THC使用与积极的创伤后调整规模查相关

Jeremy Miller¹, Claudia Alvarez¹, Lauren Berki¹

¹Division of Trauma and Acute Care Surgery, Department of Surgery, Desert Regional Medical Center, Palm Springs, CA, USA.

The American surgeon

|September 17, 2025

概括

创伤前四大麻 (THC) 的使用与创伤后应激障碍 (PTSD) 症状查在创伤患者中的较高水平有关. 这表明,大麻使用可能表明受伤后对心理痛苦的脆弱性增加.

科学领域:

创伤护理创伤护理
精神病学是一个精神病学.
大麻素研究研究大麻素研究

背景情况:

越来越多的人使用大麻,特别是四大麻 (THC),有些人认为它可以治疗精神疾病.
伤害前使用THC与随后出现创伤后应激障碍 (PTSD) 症状之间的关联仍然不清楚.
了解这种关系对于创伤患者护理和心理健康干预至关重要.

研究的目的:

为了确定四大麻素 (THC) 使用与创伤后压力症状的积极查之间的关联.
在成年创伤患者中,评估THC使用与创伤后调整量表 (PAS) 的关系.
在创伤人群中确定阳性PAS查的预测因素.

主要方法:

一级创伤中心的回顾性队列研究 (2023年1月 - 2024年12月).
包括完成住院PAS查的成年创伤患者.
使用多变量逻辑回归进行分析,对共变量进行调整,通过尿液药物查确定THC使用.

主要成果:

在1960名患者中,22.3%的查结果为PTSD症状呈阳性 (PAS阳性).
在PAS阳性患者中,四大麻 (THC) 的使用明显更常见 (19.6%对13.2%,P=0.001).
使用THC仍然是积极的PAS查 (OR 1.66,P = 0.001) 的独立预测因素,与多重物质使用和伤害特征一起.

结论:

最近使用四大麻 (THC) 独立地与创伤患者的创伤后压力症状查有关.
研究结果表明,基线大麻使用可能表明在创伤后对心理痛苦的脆弱性增加.
结果强调需要针对有史以来使用THC的创伤患者进行有针对性的查和干预,质疑其自我治疗作用.

关键词:

一个创伤的创伤创伤.创伤急性护理的急性护理

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