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患者对医用大麻作为肌肉骨骼疼痛管理替代疗法的体验和看法。

Patient Experience and Perspective on Medical Cannabis as an Alternative for Musculoskeletal Pain Management.

机构信息

From the Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico (Dr. Mangual-Pérez, Dr. Tresgallo-Parés, Dr. Ramírez-González, Dr. Torres-Lugo, and Dr. Lojo-Sojo); the School of Medicine, Universidad Central del Caribe, Bayamon, Puerto Rico (Dr. Rivera-Dones and Dr. Rivera-Rodríguez); and the School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico (Dr. Claudio-Marcano).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2022 Jul 6;6(7). doi: 10.5435/JAAOSGlobal-D-22-00055. eCollection 2022 Jul 1.

Abstract

INTRODUCTION

The current rate of opioid prescription is disquieting because of their high abuse potential, adverse effects, and thousands of overdose deaths. This situation imposes urgency in seeking alternatives for adequate pain management. From this perspective, this study aimed to evaluate the experience and the perceived analgesic efficacy of medical cannabis in managing the pain associated with musculoskeletal conditions.

METHODS

A 28-question survey was distributed to patients at a major medical cannabis center in Puerto Rico for 2 months. Demographics, medical history, cannabis usage, cannabis use perspective, and analgesic efficacy were assessed in the questionnaire.

RESULTS

One hundred eighty-four patients completed our survey. The majority (67%) were males, and the participants' average age was 38 years. This study showed an average pain reduction score of 4.02 points on the Numeric Rating Scale among all the participants. Those with musculoskeletal conditions reported a notable average pain reduction score of 4.47 points. In addition, 89% of the participants considered medical cannabis to be more effective than narcotics for adequate pain management.

CONCLUSIONS

This study demonstrated that the use of medical cannabis among patients with musculoskeletal conditions effectively reduced pain levels based on their Numeric Rating Scale reported scores.

摘要

简介

由于阿片类药物具有较高的滥用潜力、副作用和数千例过量死亡,目前的阿片类药物处方率令人不安。这种情况迫切需要寻找替代方法来进行充分的疼痛管理。从这个角度来看,本研究旨在评估医用大麻在治疗与肌肉骨骼疾病相关的疼痛方面的经验和感知的镇痛效果。

方法

在波多黎各的一个主要医用大麻中心,我们向患者分发了一份 28 个问题的调查问卷,为期 2 个月。调查问卷评估了人口统计学、病史、大麻使用情况、大麻使用观点和镇痛效果。

结果

184 名患者完成了我们的调查。大多数(67%)是男性,参与者的平均年龄为 38 岁。本研究显示,所有参与者的数字评分量表上的平均疼痛缓解评分为 4.02 分。患有肌肉骨骼疾病的患者报告的平均疼痛缓解评分显著为 4.47 分。此外,89%的参与者认为医用大麻在充分的疼痛管理方面比麻醉性止痛药更有效。

结论

本研究表明,患有肌肉骨骼疾病的患者使用医用大麻可有效降低疼痛水平,根据他们的数字评分量表报告评分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf92/9263487/fc6856182f1e/jagrr-6-e22.00055-g001.jpg

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