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可食用大麻制品与儿科人群潜在风险。

Edible marijuana products and potential risks for pediatric populations.

机构信息

Division of Developmental and Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, Lake Success.

Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.

出版信息

Curr Opin Pediatr. 2022 Jun 1;34(3):279-287. doi: 10.1097/MOP.0000000000001132.

Abstract

PURPOSE OF REVIEW

In recent years, an increasing number of states have legalized marijuana, also known as cannabis, for recreational use. As marijuana becomes more accessible, adolescent use and accidental pediatric exposures are likely to become broad public health concerns. Edible marijuana products, which are consumable foods or beverages that contain cannabis extract, are particularly enticing to youth, as they come in appealing forms such as candies, cookies, and drinks. The purpose of this review is to provide pediatricians with an overview of the different types and potential dangers associated with edible marijuana products.

RECENT FINDINGS

Edible marijuana products are often indistinguishable in appearance from normal food items and lack the smell and visible smoke associated with inhaled marijuana. Because they are inconspicuous, palatable, and easily accessible, they are increasingly popular among adolescents. Additionally, the packaging of edible baked goods, candies, and drinks is often purposefully very similar to that of mainstream foods, increasing the risk of accidental ingestion by children. An edible marijuana product must be digested before Δ9-tetrahydrocannabinol can enter the bloodstream, so there is a delayed onset of effects when consuming edibles compared with inhaling marijuana. This also predisposes users to accidental overconsumption.

SUMMARY

Greater knowledge of edible marijuana product consumption by pediatric populations will allow pediatricians to more effectively help patients and advise caregivers in cases of overconsumption, dependence, or accidental ingestion. It is important for parents, guardians, and educators to be able to successfully identify edible marijuana products and recognize signs of cannabis use.

摘要

目的综述:近年来,越来越多的州将大麻(亦称大麻)合法化,用于娱乐用途。随着大麻更容易获得,青少年使用和意外的儿科暴露可能成为广泛的公共卫生关注点。可食用大麻产品是含有大麻提取物的可食用食品或饮料,对年轻人特别有吸引力,因为它们以吸引人的形式出现,如糖果、饼干和饮料。本综述的目的是为儿科医生提供可食用大麻产品的不同类型和潜在危险的概述。

最新发现:可食用大麻产品在外观上通常与普通食品没有区别,并且缺乏与吸入大麻相关的气味和可见烟雾。由于它们不显眼、美味且易于获取,因此在青少年中越来越受欢迎。此外,可食用烘焙食品、糖果和饮料的包装通常故意与主流食品非常相似,增加了儿童意外摄入的风险。可食用大麻产品必须先被消化,Δ9-四氢大麻酚才能进入血液,因此与吸食大麻相比,食用大麻的效果出现延迟。这也使使用者更容易意外过量摄入。

总结:更多地了解儿科人群对可食用大麻产品的消费,将使儿科医生能够更有效地帮助患者,并在过度消费、依赖或意外摄入的情况下向护理人员提供建议。父母、监护人以及教育工作者能够成功识别可食用大麻产品并识别大麻使用迹象非常重要。

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