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Δ-9-四氢大麻酚/大麻二酚治疗多发性硬化症:根据《国际功能、残疾和健康分类》对自主功能概况的影响

Treatment with Delta-9-tetrahydrocannabinol/cannabidiol in Multiple Sclerosis: Influence on the Autonomy Profile according to the International Classification of Functioning, Disability and Health.

作者信息

Ciotti Silvia, Micheli Mary, Cometa Antonella, De Carlo Claudia, Martini Giancarlo, Marona Andrea, Filippetti Laura, Carducci Diego, Baratta Silvano, Zampolini Mauro, Corea Francesco

机构信息

USL Umbria 2, Department of Rehabilitation, S.C.R.I.N. Trevi, Italy.

USL Umbria 2, Department of Rehabilitation, S.M. Stella, Orvieto, Italy.

出版信息

Eur J Case Rep Intern Med. 2021 Sep 6;8(9):002298. doi: 10.12890/2021_002298. eCollection 2021.

Abstract

UNLABELLED

Multiple sclerosis (MS) is the most common cause of non-traumatic neurological disability in young adults. It has effects at different levels: physical, emotional, psychological, cognitive and social, with a great variety of signs and symptoms. In particular, spasticity contributes to reducing the motor performance of patients with MS, causing pain, reduction in distance walked and limitations in social life. We present the case of a 39-year-old woman with MS. She was treated with delta-9-tetrahydrocannabinol/cannabidiol and the outcome was assessed with the International Classification of Functioning Disability and Health core set framework.

LEARNING POINTS

The clinical presentation of multiple sclerosis (MS) is heterogeneous but very often lower limb spasticity leads to severe disability.The use of nabiximols improved spasticity control and motor performance in walking, and also had a larger effect in improving activity and participation in personal relationships.Appropriate assessment of MS cases, through the ICF framework, may demonstrate further effects of nabiximols on patient capacity and performance.

摘要

未标注

多发性硬化症(MS)是年轻成年人非创伤性神经残疾的最常见原因。它在不同层面产生影响:身体、情感、心理、认知和社会层面,有各种各样的体征和症状。特别是,痉挛会导致MS患者运动能力下降,引起疼痛、行走距离缩短以及社交生活受限。我们报告一例39岁患MS的女性病例。她接受了δ-9-四氢大麻酚/大麻二酚治疗,并依据国际功能、残疾和健康分类核心集框架对治疗结果进行了评估。

学习要点

多发性硬化症(MS)的临床表现具有异质性,但下肢痉挛常常导致严重残疾。使用纳比西林可改善痉挛控制及行走时的运动能力,对改善活动及人际关系参与度也有更大作用。通过国际功能、残疾和健康分类(ICF)框架对MS病例进行恰当评估,可能会证明纳比西林对患者能力和表现有进一步影响。

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