中国临床心理学杂志

508名急诊患者外伤与饮酒的相关性

单位：1. 中南大学湘雅二医院精神卫生研究所精神疾病诊疗技术湖南省工程实验室精神病学与精神卫生学湖南省重点实验室长沙 410011
2. 南华大学第一附属医院衡阳 421001

关键词：急诊外伤饮酒故意伤害

分类号：R395.2

出版年,卷(期):页码：2014,22(2):285-287

摘要：

目的:探讨饮酒与外伤风险之间的关系。方法:对年龄≥18岁,受伤时间在6h以内,且为首次治疗的外伤患者508例,采用NIH提供的问卷对外伤类型、外伤前是否饮酒、外伤前的饮酒量、过去一年饮酒情况等进行调查,采用病例交叉分析方法,研究饮酒与外伤风险的关系。结果:受伤前6h饮酒者的外伤风险高于伤前未饮酒者(OR=2.11,95%CI:1.48-3.03);伤前6h饮酒低于6个标准杯的外伤风险高于伤前未饮酒者(OR=1.56,95%CI:1.03-2.37);伤前6h饮酒为6-9个标准杯的外伤风险高于伤前未饮酒者(OR=3.52,95%CI:1.66-7.50);伤前6h饮酒为9个标准杯及以上者的外伤风险高于伤前未饮酒者(OR=3.88,95%CI:1.65-9.13)。结论:伤前6小时内饮酒增加外伤发生的风险,随着饮酒量的增加,风险也随之增加,需要控制不良饮酒行为,减少与酒相关的外伤的发生。

Objective: To examine the relationship between injury and alcohol use in emergency patients. Methods: Totally 508 emergency patients(age≥18years) who got injury within 6h were recruited. We used the American National Institute of Health questionnaire to investigate trauma type, drinking volume and drinking history. The case-crossover method was used to analyze the data. Results: Compared with the non-drinkers, Subjects who had drunk 6h before injury had a higher risk of suffering from injury(OR=2.11, 95%CI: 1.48-3.03). Subjects who had drunk fewer than 6 standard drinks of alcohol 6h before injury had a higher risk of suffering from injury than that of non-drinkers(OR=1.56, 95%CI: 1.03-2.37). Subjects who had drunk 6-9 standard drinks of alcohol 6h before injury had a higher risk of suffering from injury than that of non-drinkers(OR=3.52, 95%CI: 1.66-7.50). Subjects who had drunk more than 9 standard drinks of alcohol 6h before injury had a higher risk of suffering from injury than that of non-drinkers(OR=3.88, 95%CI: 1.65-9.13). Conclusion: Alcohol use prior to injury is associated with increased risk of trauma.

基金项目：

美国国立卫生研究院基金(NIH-NIDDK-07-302)

作者简介：

参考文献：

1 Cherpitel CJ. Alcohol and injuries: a review of international emergency room studies since 1995. Drug Alcohol Rev, 2007, 26(2): 201-14
2 向小军，郝伟. 560名急诊外伤患者饮酒状况的研究. 中国药物依赖性杂志，2003，12(4)：284-287
3 Maclure M．The case-crossover design：A method for studying transient effects on the risk of acute events．Am J Epidemiol，1991，133(2)：144-153
4 禚传君，李冰，李继涛，黄悦勤. 北京某综合医院493名患者急诊外伤与饮酒的关系. 中国心理卫生杂志，2010，24 (4)：289-292
5 Borges G, Cherpitel C, Orozco R. Multi-centre study of acute alcohol use and non-fatal injuries：Data from the WHO collaborative study on alcohol and injuries. Bull WHO, 2006, 84(6): 453-460
6 Borges G, Cherpitel C, Mittleman M. Risk of injury after alcohol consumption：A case-crossover study in the emergency department.Soc Sci Med, 2004, 58(6): 1191-1200
7 Cherpitel CJ, Ye Y. Alcohol and injury in the United States general population：A risk function analysis from the 2005 national alcohol survey. Am J Addict, 2009, 18(1): 29-35
8 Rossow I, Bogstrand ST, Ekeberg O, et al. Associations between heavy episodic drinking and alcohol related injuries: A case control study. BMC Public Health, 2013, 13(1): 1076
9 Chun S, Reid EA, Yun M. the association of alcohol drinking pattern and selfinflicted intentional injury in Korea: A cross-sectional WHO collaborative emergency room study. BMJ Open. 2013, 30: 3(4). doi:pii: e002469. 10.1136/bmjo pen-2012-002469
10 Mascarenhas MD, Malta DC, da Silva MM, et al. Alcoholrelated injuries in emergency departments in Brazil, 2006 and 2007. Cien Saude Colet, 2009, 14(5): 1789-1796
11 Borges G, Orozco R, Cremonte M, et al. Alcohol and violence in the emergency department：A regional report from the WHO collaborative study on alcohol and injuries. Salud Publica Mex, 2008, 50(1): 6-11
12 Macdonald S, Wells S. Factors related to self-reported violent and accidental injuries. Drug and Alcohol Review, 2001, 20(3): 299-307
13 Mclcod R, Stockwell T, Stevens M, et al. The relationship between alcohol consumption patterns and injury. Addiction, 1999, 94(11): 1719-1734
14 王正国. 中国道路交通医学的调查报告. 21世纪东西方卫生保健展望学术会议中方大会报告资料汇编，2001. 110119
15 Bayan P, Bhawalkar JS, Jadhav SL, Banerjee A. Profile of non-fatal injuries due to road traffic accidents from a industrial town in India. Int J Crit Illn Inj Sci, 2013, 3(1): 8-11

服务与反馈：

【文章下载】【加入收藏】