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1
Medical Cannabis for the Primary Care Physician.基层医疗医生的医用大麻
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719884838. doi: 10.1177/2150132719884838.
2
Cannabis for Chronic Pain: Challenges and Considerations.大麻治疗慢性疼痛:挑战与考量。
Pharmacotherapy. 2018 Jun;38(6):651-662. doi: 10.1002/phar.2115. Epub 2018 May 16.
3
Qualifying Conditions Of Medical Cannabis License Holders In The United States.美国医用大麻许可证持有者的资格条件。
Health Aff (Millwood). 2019 Feb;38(2):295-302. doi: 10.1377/hlthaff.2018.05266.
4
Medical cannabis for the treatment of chronic pain and other disorders: misconceptions and facts.医用大麻治疗慢性疼痛和其他疾病:误解与事实。
Pol Arch Intern Med. 2017 Nov 30;127(11):785-789. doi: 10.20452/pamw.4123. Epub 2017 Oct 25.
5
Attitudes of Irish patients with chronic pain towards medicinal cannabis.爱尔兰慢性疼痛患者对药用大麻的态度。
Ir J Med Sci. 2019 Feb;188(1):267-272. doi: 10.1007/s11845-018-1761-x. Epub 2018 Feb 8.
6
Cannabis and Cannabinoids for Chronic Pain.大麻和大麻素治疗慢性疼痛。
Curr Rheumatol Rep. 2017 Oct 5;19(11):67. doi: 10.1007/s11926-017-0693-1.
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Cannabis for Symptom Management in Older Adults.大麻用于老年患者的症状管理。
Med Clin North Am. 2020 May;104(3):471-489. doi: 10.1016/j.mcna.2020.01.004.
8
Benefits and adverse effects of cannabis use among adults with persistent pain.成年人持续性疼痛患者使用大麻的益处和不良反应。
Nurs Outlook. 2019 May-Jun;67(3):223-231. doi: 10.1016/j.outlook.2018.12.014. Epub 2018 Dec 13.
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A survey of the attitudes, beliefs and knowledge about medical cannabis among primary care providers.基层医疗保健提供者对医用大麻的态度、信念和知识的调查。
BMC Fam Pract. 2019 Jan 22;20(1):17. doi: 10.1186/s12875-019-0906-y.
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Support for Expanding Access to Cannabis Among Physicians and Adults With Chronic Pain.支持在医生和患有慢性疼痛的成年人中扩大大麻的获取途径。
JAMA Netw Open. 2024 Sep 3;7(9):e2435843. doi: 10.1001/jamanetworkopen.2024.35843.

引用本文的文献

1
Cannabis dispensary staff approaches to counseling on potential contraindications to cannabis use: insights from a national self-report survey.大麻药房员工对潜在大麻使用禁忌的咨询方法:一项全国性自我报告调查的见解。
BMC Prim Care. 2023 Jul 14;24(1):145. doi: 10.1186/s12875-023-02095-5.
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Documenting cannabis use in primary care: a descriptive cross-sectional study using electronic medical record data in Alberta, Canada.记录初级保健中的大麻使用情况:使用加拿大艾伯塔省电子病历数据的描述性横断面研究。
BMC Res Notes. 2023 Feb 1;16(1):9. doi: 10.1186/s13104-023-06274-6.
3
A review of cannabis allergy in the early days of legalization.合法化早期的大麻过敏综述。
Ann Allergy Asthma Immunol. 2023 Mar;130(3):288-295. doi: 10.1016/j.anai.2022.10.016. Epub 2022 Oct 27.
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School Nurse Perspectives of Medical Cannabis Policy in K-12 Schools: An Exploratory Descriptive Study.中小学医学生大麻政策的学校护士观点:探索性描述性研究。
J Sch Nurs. 2024 Dec;40(6):596-607. doi: 10.1177/10598405221136288. Epub 2022 Nov 14.
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Exploratory Factor Analysis of Medical Students' Perceptions of Medical Cannabis Scale.医学生对医用大麻量表认知的探索性因素分析
Cureus. 2022 Jun 8;14(6):e25749. doi: 10.7759/cureus.25749. eCollection 2022 Jun.
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Predictors of Medical Students' Perceptions About Medical Cannabis.医学生对医用大麻认知的预测因素
Cureus. 2022 Apr 22;14(4):e24390. doi: 10.7759/cureus.24390. eCollection 2022 Apr.
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Medical marijuana certification for patients with sickle cell disease: a report of a single center experience.镰状细胞病患者的医用大麻认证:单中心经验报告
Blood Adv. 2020 Aug 25;4(16):3814-3821. doi: 10.1182/bloodadvances.2020002325.
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Use and Reported Helpfulness of Cannabinoids Among Primary Care Patients in Vermont.佛蒙特州初级保健患者中使用和报告的大麻素的有效性。
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720946954. doi: 10.1177/2150132720946954.

本文引用的文献

1
Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use - Interim Guidance.与电子烟产品使用相关的严重肺部疾病 - 临时指南。
MMWR Morb Mortal Wkly Rep. 2019 Sep 13;68(36):787-790. doi: 10.15585/mmwr.mm6836e2.
2
Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Final Report.伊利诺伊州和威斯康星州与电子烟使用相关的肺部疾病-最终报告。
N Engl J Med. 2020 Mar 5;382(10):903-916. doi: 10.1056/NEJMoa1911614. Epub 2019 Sep 6.
3
The Effectiveness of Cannabinoids in the Treatment of Posttraumatic Stress Disorder (PTSD): A Systematic Review.大麻素治疗创伤后应激障碍(PTSD)的疗效:系统评价。
J Dual Diagn. 2020 Jan-Mar;16(1):120-139. doi: 10.1080/15504263.2019.1652380. Epub 2019 Sep 3.
4
Use of Cannabis to Relieve Pain and Promote Sleep by Customers at an Adult Use Dispensary.成人使用大麻药房顾客使用大麻缓解疼痛和促进睡眠的情况。
J Psychoactive Drugs. 2019 Nov-Dec;51(5):400-404. doi: 10.1080/02791072.2019.1626953. Epub 2019 Jul 2.
5
Cannabis Use among Patients in a Rural Academic Palliative Care Clinic.农村学术姑息治疗诊所患者的大麻使用情况。
J Palliat Med. 2019 Oct;22(10):1224-1226. doi: 10.1089/jpm.2018.0534. Epub 2019 Apr 17.
6
Acute Illness Associated With Cannabis Use, by Route of Exposure: An Observational Study.急性疾病与大麻使用相关,按暴露途径分类:一项观察性研究。
Ann Intern Med. 2019 Apr 16;170(8):531-537. doi: 10.7326/M18-2809. Epub 2019 Mar 26.
7
Perioperative care of cannabis users: A comprehensive review of pharmacological and anesthetic considerations.围手术期大麻使用者的护理:药理学和麻醉考虑因素的全面综述。
J Clin Anesth. 2019 Nov;57:41-49. doi: 10.1016/j.jclinane.2019.03.011. Epub 2019 Mar 7.
8
Cannabidiol (Epidiolex) for epilepsy.用于癫痫的大麻二酚(艾必妥)
Med Lett Drugs Ther. 2018 Nov 5;60(1559):182-184.
9
Acute cannabis toxicity.急性大麻中毒。
Clin Toxicol (Phila). 2019 Aug;57(8):735-742. doi: 10.1080/15563650.2018.1548708. Epub 2019 Jan 24.
10
Medicinal Cannabis-Potential Drug Interactions.药用大麻——潜在的药物相互作用
Medicines (Basel). 2018 Dec 23;6(1):3. doi: 10.3390/medicines6010003.

基层医疗医生的医用大麻

Medical Cannabis for the Primary Care Physician.

作者信息

Slawek Deepika, Meenrajan Senthil Raj, Alois Marika Rose, Comstock Barker Paige, Estores Irene Mison, Cook Robert

机构信息

Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.

University of Florida, Gainesville, FL, USA.

出版信息

J Prim Care Community Health. 2019 Jan-Dec;10:2150132719884838. doi: 10.1177/2150132719884838.

DOI:10.1177/2150132719884838
PMID:31646929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6820188/
Abstract

Medical cannabis use is common in the United States and increasingly more socially acceptable. As more patients seek out and acquire medical cannabis, primary care physicians will be faced with a growing number of patients seeking information on the indications, efficacy, and safety of medical cannabis. We present a case of a patient with several chronic health conditions who asks her primary care provider whether she should try medical cannabis. We provide a review of the pharmacology of medical cannabis, the state of evidence regarding the efficacy of medical cannabis, variations in the types of medical cannabis, and safety monitoring considerations for the primary care physician.

摘要

医用大麻在美国使用普遍,且在社会上越来越被接受。随着越来越多的患者寻求并获取医用大麻,初级保健医生将面临越来越多寻求有关医用大麻适应症、疗效和安全性信息的患者。我们介绍了一位患有多种慢性健康问题的患者,她询问其初级保健医生自己是否应该尝试使用医用大麻。我们综述了医用大麻的药理学、医用大麻疗效的证据状况、医用大麻类型的差异以及初级保健医生的安全监测注意事项。