Goldin Deana, Salani Deborah, Mckay Mary
J Psychosoc Nurs Ment Health Serv. 2019 Dec 1;57(12):15-20. doi: 10.3928/02793695-20191112-03.
Kratom is an herbal drug originating from the Mitragyna speciosa, a plant indigenous to Southeast Asia. Kratom has been widely used for its stimulant and opioid-like effects derived from its main psychoactive alkaloid properties mitragynine and 7-hydroxymitragynine. In the United States, kratom is gaining popularity as an herbal and natural dietary supplement, as well as a natural and legal alternative to narcotics. Kratom use is typically accompanied by increasing tolerance and dependence making it highly problematic. Kratom's potentially toxic and lethal properties have become an emerging public health threat. Due to deficiencies of governmental controls and its rising prevalence among individuals who ingest kratom, health care providers need to be familiar with the pharmacology, adverse effects, and problems associated with kratom ingestion when caring for individuals. [Journal of Psychosocial Nursing and Mental Health Services, 57(12), 15-20.].
kratom是一种源自Mitragyna speciosa的草药，Mitragyna speciosa是一种原产于东南亚的植物。kratom因其主要精神活性生物碱成分——帽柱木碱和7-羟基帽柱木碱所具有的兴奋作用和类阿片样作用而被广泛使用。在美国，kratom作为一种草药和天然膳食补充剂，以及麻醉药品的天然合法替代品，正越来越受欢迎。使用kratom通常会导致耐受性增加和成瘾，这使其成为一个严重的问题。kratom潜在的毒性和致命特性已成为一个新出现的公共卫生威胁。由于政府监管不足以及kratom在使用者中的流行率不断上升，医疗保健人员在护理患者时需要熟悉kratom的药理学、不良反应以及与摄入kratom相关的问题。[《心理社会护理与精神卫生服务杂志》，第57卷（12期），第15 - 20页]
