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绝经前后妇女中使用大麻对血管舒缩症状、情绪、失眠和性功能的影响:系统评价。

The impact of cannabis use on vasomotor symptoms, mood, insomnia and sexuality in perimenopausal and postmenopausal women: a systematic review.

机构信息

Department of Medical Oncology, Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

出版信息

Climacteric. 2021 Dec;24(6):572-576. doi: 10.1080/13697137.2021.1898581. Epub 2021 Mar 24.

Abstract

OBJECTIVE

This study aimed to evaluate the published data on the effect of cannabis use in perimenopausal and postmenopausal women to alleviate menopausal symptoms, insomnia and anxiety.

METHODS

Databases searched included Ovid MEDLINE, PubMed, Ovid Embase, Web of Science, Scopus, CINAHL, PsycINFO, Cochrane, LILACS and AMED. Selected studies assessed perimenopausal or postmenopausal women, cannabis use impact and menopausal symptoms.

RESULTS

A total of 564 studies were retrieved. Three studies met the inclusion criteria. One study controlled for participant cannabis use and reported on the effects of cannabis and placebo cigarette smoking on mood in 10 postmenopausal women. Another study assessed associations between drug use with hot flashes and insomnia in 120 HIV-infected women and found that menopausal status and cannabis use was crudely associated with the presence of hot flashes. The last study evaluated expectancies of 115 menopausal patients who endorsed lifetime cannabis use and reported that women expected cannabis to improve depression, anxiety, hot flashes and problems with sleep. None of these studies assessed quality of life as an outcome.

CONCLUSION

There is a paucity of literature on the impact of cannabis use in menopause. Research into cannabis consumption in menopause is essential, as it is frequently used to alleviate symptoms without evidence of its benefits.

摘要

目的

本研究旨在评估已发表的关于大麻使用对缓解围绝经期和绝经后妇女更年期症状、失眠和焦虑的影响的数据。

方法

检索的数据库包括 Ovid MEDLINE、PubMed、Ovid Embase、Web of Science、Scopus、CINAHL、PsycINFO、Cochrane、LILACS 和 AMED。入选的研究评估了围绝经期或绝经后妇女、大麻使用影响和更年期症状。

结果

共检索到 564 篇研究。有 3 项研究符合纳入标准。其中一项研究控制了参与者的大麻使用情况,并报告了 10 名绝经后妇女吸食大麻和安慰剂香烟对情绪的影响。另一项研究评估了 120 名 HIV 感染妇女中药物使用与热潮红和失眠之间的关联,发现绝经状态和大麻使用与热潮红的存在存在粗略关联。最后一项研究评估了 115 名报告有终生大麻使用的绝经患者的预期,报告称女性期望大麻能改善抑郁、焦虑、热潮红和睡眠问题。这些研究均未评估生活质量作为结局。

结论

关于大麻使用对更年期影响的文献很少。有必要对更年期大麻消费进行研究,因为它经常被用于缓解症状,但没有证据表明其有益。

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