Heng Marilyn, McTague Michael F, Lucas Robert C, Harris Mitchel B, Vrahas Mark S, Weaver Michael J
*Department of Orthopaedic Surgery, Harvard Medical School Orthopedic Trauma Initiative, Massachusetts General Hospital, Boston, MA;†Department of Orthopedic Surgery, Harvard Medical School Orthopedic Trauma Initiative, Brigham and Women's Hospital, Boston, MA; and‡Cedars Sinai Medical Center, Los Angeles, CA.
J Orthop Trauma. 2018 Jan;32(1):e25-e30. doi: 10.1097/BOT.0000000000001002.
To evaluate musculoskeletal trauma patients' beliefs regarding the usefulness of marijuana as a valid medical treatment for postinjury and postoperative pain and anxiety.
Prospective survey.
Two academic Level 1 trauma centers.
PATIENTS/PARTICIPANTS: Five hundred patients in an orthopedic outpatient clinic.
Survey.
(1) Do patients believe that marijuana can be used as medicine? (2) Do patients believe that marijuana can help treat postinjury pain? (3) Are patients comfortable speaking with their health care providers about medical marijuana?
The majority of patients felt that marijuana could be used to treat pain (78%, 390) and anxiety (62%, 309). Most patients (60%, 302) had used marijuana at least once previously, whereas only 14% reported using marijuana after their injury. Of those who used marijuana during their recovery, 90% (63/70) believed that it reduced symptoms of pain, and 81% (57/70) believed that it reduced the amount of opioid pain medication they used.
The majority of patients in this study believed that medical marijuana is a valid treatment and that it does have a role in reducing postinjury and postoperative pain. Those patients who used marijuana during their recovery felt that it alleviated symptoms of pain and reduced their opioid intake. Our results help inform clinicians regarding the perceptions of patients with trauma regarding the usefulness of marijuana in treating pain and support further study into the utility of medical marijuana in this population.
评估肌肉骨骼创伤患者对于大麻作为损伤后及术后疼痛和焦虑有效医学治疗手段的看法。
前瞻性调查。
两家一级学术创伤中心。
患者/参与者:骨科门诊的500名患者。
调查。
(1)患者是否认为大麻可作为药物使用?(2)患者是否认为大麻有助于治疗损伤后疼痛?(3)患者与医护人员谈论医用大麻时是否感到自在?
大多数患者认为大麻可用于治疗疼痛(78%,390人)和焦虑(62%,309人)。大多数患者(60%,302人)曾至少使用过大麻一次,而只有14%的患者报告在受伤后使用过大麻。在恢复过程中使用过大麻的患者中,90%(63/70)认为它减轻了疼痛症状,81%(57/70)认为它减少了他们使用的阿片类止痛药物的用量。
本研究中的大多数患者认为医用大麻是一种有效的治疗方法,且在减轻损伤后和术后疼痛方面确实有作用。那些在恢复过程中使用过大麻的患者感觉它缓解了疼痛症状并减少了阿片类药物的摄入量。我们的结果有助于告知临床医生创伤患者对于大麻治疗疼痛有效性的看法,并支持对该人群中医用大麻效用的进一步研究。