Rosenberg Evan C, Louik Jay, Conway Erin, Devinsky Orrin, Friedman Daniel
Department of Neuroscience and Physiology, New York University Langone Medical Center, New York, New York, U.S.A.
Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York, U.S.A.
Epilepsia. 2017 Aug;58(8):e96-e100. doi: 10.1111/epi.13815. Epub 2017 Jun 15.
Recent clinical trials indicate that cannabidiol (CBD) may reduce seizure frequency in pediatric patients with certain forms of treatment-resistant epilepsy. Many of these patients experience significant impairments in quality of life (QOL) in physical, mental, and social dimensions of health. In this study, we measured the caregiver-reported Quality of Life in Childhood Epilepsy (QOLCE) in a subset of patients enrolled in a prospective, open-label clinical study of CBD. Results from caregivers of 48 patients indicated an 8.2 ± 9.9-point improvement in overall patient QOLCE (p < 0.001) following 12 weeks of CBD. Subscores with improvement included energy/fatigue, memory, control/helplessness, other cognitive functions, social interactions, behavior, and global QOL. These differences were not correlated to changes in seizure frequency or adverse events. The results suggest that CBD may have beneficial effects on patient QOL, distinct from its seizure-reducing effects; however, further studies in placebo-controlled, double-blind trials are necessary to confirm this finding.
近期临床试验表明,大麻二酚(CBD)可能降低某些形式的难治性癫痫患儿的癫痫发作频率。这些患者中的许多人在身体、心理和社会健康维度的生活质量(QOL)方面存在显著损害。在本研究中,我们在一项关于CBD的前瞻性、开放标签临床研究的部分患者中,测量了照料者报告的儿童癫痫生活质量(QOLCE)。48名患者的照料者反馈结果显示,服用CBD 12周后,患者总体QOLCE改善了8.2±9.9分(p<0.001)。改善的子分数包括精力/疲劳、记忆力、控制/无助感、其他认知功能、社交互动、行为和总体生活质量。这些差异与癫痫发作频率或不良事件的变化无关。结果表明,CBD可能对患者的生活质量有有益影响,与其减少癫痫发作的作用不同;然而,需要在安慰剂对照、双盲试验中进行进一步研究以证实这一发现。