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评估大麻在子宫内膜异位症相关性疼痛症状管理中疗效的现有证据。

Evaluating the Current Evidence for the Efficacy of Cannabis in Symptom Management of Endometriosis-Associated Pain.

作者信息

Calleson Cummings Savannah, Ennis Nicole, Kloss Katie, Rosasco Robyn

机构信息

College of Medicine, FL State University, Tallahassee, Florida, USA.

出版信息

Integr Med Rep. 2024 Aug 19;3(1):111-117. doi: 10.1089/imr.2024.0017. eCollection 2024 Aug.

Abstract

INTRODUCTION

Endometriosis is a chronic condition that affects millions of women in the United States. Chronic pain can be debilitating and complex to manage. Despite common approaches like hormonal treatments and surgery, many women continue to endure pain. Managing the chronic and multifaceted nature of endometriotic pain necessitates a comprehensive strategy.

METHODS

This study explores the potential of cannabis in alleviating endometriosis-related pain through an extensive literature search. Cohort studies, case-control studies, cross-sectional surveys, and systematic reviews from January 1996 to August 2022 were eligible for inclusion. Articles were then assessed and included for further analysis if they met the following criteria: (1) Population was women with endometriosis; (2) Discussed the therapeutic use of medical cannabis for endometriosis-related pain.

RESULTS

The literature search revealed 522 articles, with eight articles meeting criteria for analysis: four cross-sectional surveys, two systematic reviews, one retrospective cohort study, and one literature review. Cannabis consumption for symptom relief was common among women with endometriosis, and some even reported that the use of cannabis reduced their use of analgesics.

DISCUSSION

The use of cannabis for endometriosis-related pain holds significant promise for addressing the often-debilitating comfort experienced by those with this condition. By interacting with the endocannabinoid system, cannabis may provide relief by modulating pain perception, reducing inflammation, relaxing muscles, and alleviating neuropathic discomfort.

摘要

引言

子宫内膜异位症是一种慢性疾病,影响着美国数百万女性。慢性疼痛可能使人虚弱,且难以处理。尽管有激素治疗和手术等常见方法,但许多女性仍继续忍受疼痛。应对子宫内膜异位症疼痛的慢性和多方面性质需要全面的策略。

方法

本研究通过广泛的文献检索,探讨大麻在缓解子宫内膜异位症相关疼痛方面的潜力。1996年1月至2022年8月的队列研究、病例对照研究、横断面调查和系统评价均符合纳入标准。然后对文章进行评估,若符合以下标准则纳入进一步分析:(1)研究对象为患有子宫内膜异位症的女性;(2)讨论了医用大麻对子宫内膜异位症相关疼痛的治疗用途。

结果

文献检索共找到522篇文章,其中八篇文章符合分析标准:四篇横断面调查、两篇系统评价、一篇回顾性队列研究和一篇文献综述。在患有子宫内膜异位症的女性中,使用大麻缓解症状很常见,一些人甚至报告称使用大麻减少了她们对镇痛药的使用。

讨论

使用大麻治疗子宫内膜异位症相关疼痛,对于解决患有这种疾病的人经常遭受的使人虚弱的疼痛问题具有重大前景。通过与内源性大麻素系统相互作用,大麻可能通过调节疼痛感知、减轻炎症、放松肌肉和缓解神经性不适来提供缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc65/11353223/7ff02c2b9ceb/imr.2024.0017_figure1.jpg

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