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大麻汽化:了解产品、设备及风险。

Cannabis vaporisation: Understanding products, devices and risks.

作者信息

MacCallum Caroline A, Lo Lindsay A, Pistawka Carly A, Christiansen April, Boivin Michael

机构信息

Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.

Department of Public Health Science, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

出版信息

Drug Alcohol Rev. 2024 Mar;43(3):732-745. doi: 10.1111/dar.13800. Epub 2023 Dec 20.

Abstract

ISSUES

Vaporisation is a common method of cannabis administration. Inconsistent terminology and jargon regarding vaporisation has led to confusion. The increasing public interest and access to cannabis, combined with possible safety concerns associated with certain cannabis vaping products, warrants improved consumer and public and health care professional knowledge.

APPROACH

To improve this knowledge, we conducted a review of the common terminology, regulatory status, products and device types related to cannabis vaporisation.

KEY FINDINGS

Cannabis vaporisation devices can be separated into nine types. While vaporisation reduces respiratory risks associated with cannabis combustion, not all vaping products and device types carry the same level of safety. Metered dose inhalers and dried product vaporisers present the lowest safety risk due to a lower risk of toxin exposure and the use of lower tetrahydrocannabinol potency products.

IMPLICATIONS

As both vaping and cannabis use increase in popularity, focusing on accurate health education will help facilitate health promotion to encourage lower risk use. The current lack of understanding on risk differences between types of cannabis vaporisation is a missed opportunity for harm reduction. Increased opportunities for public health and health care professional education on different cannabis vaporisation devices and associated risks are warranted. Improvements to health warning labelling may also be beneficial.

CONCLUSION

Not all cannabis vaporisation devices and products carry the same level of risk. A better understanding of risk differentiation is needed among consumers and health professionals. Continued research, policy development and health education can lead to safer cannabis vaporisation.

摘要

问题

雾化是一种常见的大麻给药方式。关于雾化的术语和行话不一致,导致了混淆。公众对大麻的兴趣日益增加且获取途径增多,再加上某些大麻雾化产品可能存在的安全问题,有必要提高消费者、公众和医疗保健专业人员的相关知识水平。

方法

为了提高这方面的知识水平,我们对与大麻雾化相关的常见术语、监管状况、产品和设备类型进行了综述。

主要发现

大麻雾化设备可分为九种类型。虽然雾化可降低与大麻燃烧相关的呼吸道风险,但并非所有雾化产品和设备类型都具有相同程度的安全性。定量吸入器和干产品雾化器的安全风险最低,因为毒素暴露风险较低,且使用的四氢大麻酚效力较低的产品。

启示

随着雾化和大麻使用的日益普及,注重准确的健康教育将有助于促进健康,鼓励降低风险使用。目前对不同类型大麻雾化之间风险差异缺乏了解,是减少危害的一个错失的机会。有必要增加针对公众健康和医疗保健专业人员的关于不同大麻雾化设备及其相关风险的教育机会。改进健康警示标签也可能有益。

结论

并非所有大麻雾化设备和产品都具有相同程度的风险。消费者和健康专业人员需要更好地理解风险差异。持续的研究、政策制定和健康教育可以带来更安全的大麻雾化。

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