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Adverse Events of Cannabidiol Use in Patients With Epilepsy: A Systematic Review and Meta-analysis.癫痫患者使用大麻二酚的不良反应:系统评价和荟萃分析。
JAMA Netw Open. 2023 Apr 3;6(4):e239126. doi: 10.1001/jamanetworkopen.2023.9126.
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Real-world data on cannabidiol treatment of various epilepsy subtypes: A retrospective, multicenter study.大麻二酚治疗各种癫痫亚型的真实世界数据:一项回顾性多中心研究。
Epilepsia Open. 2023 Jun;8(2):360-370. doi: 10.1002/epi4.12699. Epub 2023 Feb 6.
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本文引用的文献

1
Cannabinoids in treatment-resistant epilepsy: A review.大麻素类药物在难治性癫痫治疗中的应用综述
Epilepsy Behav. 2017 May;70(Pt B):341-348. doi: 10.1016/j.yebeh.2016.11.012. Epub 2017 Feb 8.
2
Cannabidiol in patients with treatment-resistant epilepsy: an open-label interventional trial.大麻二酚治疗耐药性癫痫患者:一项开放标签的干预性试验。
Lancet Neurol. 2016 Mar;15(3):270-8. doi: 10.1016/S1474-4422(15)00379-8. Epub 2015 Dec 24.
3
Cannabidiol as a Potential Treatment for Anxiety Disorders.大麻二酚作为焦虑症的一种潜在治疗方法。
Neurotherapeutics. 2015 Oct;12(4):825-36. doi: 10.1007/s13311-015-0387-1.
4
Parental reporting of response to oral cannabis extracts for treatment of refractory epilepsy.家长对口服大麻提取物治疗难治性癫痫疗效的报告。
Epilepsy Behav. 2015 Apr;45:49-52. doi: 10.1016/j.yebeh.2015.02.043. Epub 2015 Apr 3.
5
Report of a parent survey of cannabidiol-enriched cannabis use in pediatric treatment-resistant epilepsy.儿童治疗抵抗性癫痫中使用富含大麻二酚的大麻的家长调查报告。
Epilepsy Behav. 2013 Dec;29(3):574-7. doi: 10.1016/j.yebeh.2013.08.037.
6
Quality of life in children with new-onset epilepsy: a 2-year prospective cohort study.新诊断癫痫儿童的生活质量:一项为期 2 年的前瞻性队列研究。
Neurology. 2012 Oct 9;79(15):1548-55. doi: 10.1212/WNL.0b013e31826e25aa. Epub 2012 Sep 26.
7
The impact of epilepsy surgery on quality of life in children.癫痫手术对儿童生活质量的影响。
Neurology. 2006 Feb 28;66(4):557-61. doi: 10.1212/01.wnl.0000197788.38783.09.
8
Quality of life in childhood epilepsy: validating the QOLCE.
J Paediatr Child Health. 2005 Mar;41(3):157-8. doi: 10.1111/j.1440-1754.2005.570_2.x.
9
Validation of the quality of life in childhood epilepsy questionnaire in American epilepsy patients.
Epilepsy Behav. 2003 Dec;4(6):680-91. doi: 10.1016/j.yebeh.2003.08.012.
10
Principles of health-related quality of life: assessment in clinical trials.健康相关生活质量的原则:临床试验中的评估
Epilepsia. 2002 Sep;43(9):1084-95. doi: 10.1046/j.1528-1157.2002.47501.x.

参加一项使用大麻二酚的前瞻性、开放标签临床研究的儿科患者中儿童癫痫的生活质量。

Quality of Life in Childhood Epilepsy in pediatric patients enrolled in a prospective, open-label clinical study with cannabidiol.

作者信息

Rosenberg Evan C, Louik Jay, Conway Erin, Devinsky Orrin, Friedman Daniel

机构信息

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.

出版信息

Epilepsia. 2017 Aug;58(8):e96-e100. doi: 10.1111/epi.13815. Epub 2017 Jun 15.

DOI:10.1111/epi.13815
PMID:28617940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5568670/
Abstract

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.

摘要

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。