{"title":"大麻和大麻二酚用于骨科手术后疼痛管理：范围审查。","authors":"Kevin Tran, Kari Odland, David W Polly","doi":"10.1093/pm/pnaf110","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The use of cannabis and cannabidiol (CBD) as alternatives to opioids for managing post-operative pain has gained increasing interest, especially in orthopedic surgical contexts where opioid dependence remains a pressing concern. This scoping review evaluates experimental studies from 2014 to 2025 that investigated the efficacy and safety of cannabis or CBD products in managing post-operative orthopedic pain.</p><p><strong>Design: </strong>Scoping Review.</p><p><strong>Methods: </strong>A total of 14experimental studies met the inclusion criteria and were categorized by cannabinoid composition (CBD-only, THC-only, or CBD/THC combination).</p><p><strong>Results: </strong>While CBD-only interventions showed mixed results, THC/CBD combinations demonstrated modest potential for opioid-sparing effects, with neutral safety profiles. One THC-only study reported increased opioid use and length of stay, though confounding variables were present.</p><p><strong>Conclusions: </strong>Overall, the heterogeneity in study design, cannabinoid formulation, dosing, and patient factors limits significant conclusions. There is a critical need for standardized, prospective clinical trials to better evaluate the potential of cannabinoids in post-operative orthopedic surgery.</p>","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cannabis and Cannabidiol for Post-Operative Pain Management in Orthopedic Surgery: A Scoping Review.\",\"authors\":\"Kevin Tran, Kari Odland, David W Polly\",\"doi\":\"10.1093/pm/pnaf110\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The use of cannabis and cannabidiol (CBD) as alternatives to opioids for managing post-operative pain has gained increasing interest, especially in orthopedic surgical contexts where opioid dependence remains a pressing concern. This scoping review evaluates experimental studies from 2014 to 2025 that investigated the efficacy and safety of cannabis or CBD products in managing post-operative orthopedic pain.</p><p><strong>Design: </strong>Scoping Review.</p><p><strong>Methods: </strong>A total of 14experimental studies met the inclusion criteria and were categorized by cannabinoid composition (CBD-only, THC-only, or CBD/THC combination).</p><p><strong>Results: </strong>While CBD-only interventions showed mixed results, THC/CBD combinations demonstrated modest potential for opioid-sparing effects, with neutral safety profiles. One THC-only study reported increased opioid use and length of stay, though confounding variables were present.</p><p><strong>Conclusions: </strong>Overall, the heterogeneity in study design, cannabinoid formulation, dosing, and patient factors limits significant conclusions. There is a critical need for standardized, prospective clinical trials to better evaluate the potential of cannabinoids in post-operative orthopedic surgery.</p>\",\"PeriodicalId\":19744,\"journal\":{\"name\":\"Pain Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/pm/pnaf110\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/pm/pnaf110","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
Cannabis and Cannabidiol for Post-Operative Pain Management in Orthopedic Surgery: A Scoping Review.
Objective: The use of cannabis and cannabidiol (CBD) as alternatives to opioids for managing post-operative pain has gained increasing interest, especially in orthopedic surgical contexts where opioid dependence remains a pressing concern. This scoping review evaluates experimental studies from 2014 to 2025 that investigated the efficacy and safety of cannabis or CBD products in managing post-operative orthopedic pain.
Design: Scoping Review.
Methods: A total of 14experimental studies met the inclusion criteria and were categorized by cannabinoid composition (CBD-only, THC-only, or CBD/THC combination).
Results: While CBD-only interventions showed mixed results, THC/CBD combinations demonstrated modest potential for opioid-sparing effects, with neutral safety profiles. One THC-only study reported increased opioid use and length of stay, though confounding variables were present.
Conclusions: Overall, the heterogeneity in study design, cannabinoid formulation, dosing, and patient factors limits significant conclusions. There is a critical need for standardized, prospective clinical trials to better evaluate the potential of cannabinoids in post-operative orthopedic surgery.
期刊介绍：
Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.
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