概括
本综述涵盖了物质使用的神经综合征,包括过量死亡的增加和新型精神活性物质. 神经科医生可以识别和管理这些物质使用障碍.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 和相关的过量死亡率,特别是芬太尼,在COVID-19大流行期间激增.
- 与大流行前的水平相比,目前的过量剂量率仍然很高,这凸显了持续的公共卫生危机.
- 神经科医生经常遇到严重的神经并发症,源于物质使用.
研究的目的:
- 审查与物质使用有关的神经系统综合征的范围.
- 提出一种系统的方法来识别和管理物质使用障碍.
- 强调神经病学家在引导患者接受治疗方面的作用.
主要方法:
- 关于与各种物质相关的神经系统并发症的文献综述.
- 对使用物质,过量死亡率和新型精神活性物质的趋势的分析.
- 在神经学背景下讨论药物使用障碍的诊断和管理策略.
主要成果:
- 与阿片类药物相关的有毒脑病变越来越多地被发现.
- 新型精神活性物质与神经系统并发症有关,包括发作.
- 增加大麻和幻觉剂的使用可能与神经事件,如缺血性中风有关.
结论:
- 药物使用带来了各种各样的神经学挑战,需要临床关注.
- 神经学家的早期识别和干预对于管理物质使用障碍至关重要.
- 神经科医生采取主动的方法可以改善患者的治疗结果,并引导他们接受必要的治疗.
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