北京某综合医院493名患者急诊外伤与饮酒的关系(1)
【摘 要】目的:探究酒精摄入与外伤风险之间的关系。方法:对年龄≥18岁,受伤时间至急诊时在6 h以内,且为首次治疗的患者493例,采用美国国立卫生研究院(National Institute of Health,NIH)统一提供的操作手册对患者的外伤类型、是否故意伤害、外伤前是否醉酒、外伤前饮酒量、饮酒后距离外伤的时间、过去一年饮酒情况等内容进行调查,采用现状调查及病例交叉分析方法,研究饮酒与外伤之间的关系。结果:受伤前6 h饮酒者的外伤风险高于伤前未饮酒者(OR=1.75,95%CI:1.06~2.87);受伤前6 h饮酒大于9个标准杯者的外伤风险远高于伤前未饮酒者(OR=13.0,95%CI:3.90~43.0),受伤前6h饮酒者遭受故意伤害风险高于伤前未饮酒者(OR=7.50,95% CI:1.94～28.0);与遭受非故意伤害者相比,遭受故意伤害者特征为男性、学历偏低、醉酒、酒精测试阳性者居多,并且故意伤害多发生于饮酒后1 h之内。与遭受非故意伤害者相比,遭受故意伤害者在过去一年中的饮酒频率较高。结论:饮酒会增加外伤发生及遭受故意伤害的风险,需要控制不良饮酒行为,减少外伤风险的
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发生。
【关键词】 急诊;外伤;酒精;现况调查;病例交叉分析方法
中图分类号:R64,R595.6 文献标识码:A 文章编号:1000-6729(2010)004-0289-04
doi:10.3969/j.issn.1000-6729.2010.04.011
Relationships between injury and alcohol use in 493 patients from emergency room
of a general hospital
ZHUO Chuan-Jun,LI Bing,LI Ji-Tao,HUANG,Yue-Qin
, http://www.100md.com
Peking University Institute of Mental Health,Key Laboratory of Mental Health,Ministry of Health
(Peking University)Beijing 100191,China
Corresponding author,HUANG Yue-Qin,E-mail:huangyq@bjmu.edu.cn
【Abstract】Objective:To determine the relationship between injury and alcohol use in patients with injury.Methods:Totally 493 patients(age ≥18 years)who came to the emergency room within 6 h after the injury and been treated for the first time were studied.We use the American National Institute of Health protocol to investigate trauma type,intentional injury,drinking before injury,drinking volume,interval between drinking and injury,drinking history in the past year and so on in this cross-sectional study,and the case-crossover method to analyze the data.Results:Compared with the non-drinkers,subjects who had drunk 6 h before injury had a higher risk of suffering from injury( OR=1.75,95%CI:1.06~2.87).Subjects who had drunk no less than 9 standard drinks of alcohol 6 h before injury had a higher risk of suffering from injury than that of non-drinkers(OR=13.0,95%CI:3.90~43.0).Compared with the non-drinkers,subjects who had drunk 6 h before injury had a higher risk of suffering from intentional injury(7.50,95% CI:1.94 to 28.0).Patients who were male,drunk,lower educational levels and positive for alcohol test had more possibility suffering form intentional injury.However,most of the intentional injury occurred within 1 h after drinking.Patients who suffered from intentional injury had drunk more frequently in the past one year than others.Conclusion:Alcohol use prior to injury is associated with an increased risk of trauma and intentional injury.
, http://www.100md.com
【Key words】 emergency;injury;alcohol;cross-sectional study;case-crossover study
饮酒会使外伤的风险增加,国外很多学者的研究已经证明了这一点[1]。酒精使用引起的外伤及沉重的疾病负担在全球多个国家已形成共识[2] 。发展中国家由于居民酒类消费的增加,伤害发生率显著上升,已经成为国家卫生的一个重大负担[3]。因此,酒精引起的致命和非致命性伤害应作为监测系统的一个重要内容,但是目前绝大多数的发展中国家在这方面还缺乏系统的相关数据。为了了解发展中国家饮酒与外伤之间的关系,为酒精滥用的干预策略和健康教育提供依据,NIH(National Institute Of Health 美国国家卫生院)于2003年开始一项国际间的合作研究,进行以急诊室为基础饮酒与外伤关系的调查研究。本研究为NIH资助的北京地区研究项目。
1 对象和方法
, 百拇医药
1.1 对象
2008年5月19日至2008年7月26日在北京某三甲医院急诊就诊的外伤患者,年龄≥18岁,受伤时间至急诊时在6 h以内,且为首次治疗的患者,所有患者在调查前均签署知情同意。
共选择患者541例,其中拒绝者43例,未完成问卷者5例,实际有效问卷493例,其中男349例,女144例。 受伤前6 h内饮酒者与未饮酒者的平均年龄(31.7 vs.42.2,P=0.46)、受教育程度(高中及以下:40.8% vs.40.0;大学及以上:59.2% vs.54.9%,P=0.51)、居住地(本地,90.1% vs.84.1%;外地,9.9% vs.15.8%;P=0.19)差异均无统计学意义;受伤前6 h内饮酒者男性构成多于未饮酒者(88.7% vs.58.0%,P<0.001)。, 百拇医药(禚传君 李 冰 李继涛 黄悦勤)
, http://www.100md.com
发生。
【关键词】 急诊;外伤;酒精;现况调查;病例交叉分析方法
中图分类号:R64,R595.6 文献标识码:A 文章编号:1000-6729(2010)004-0289-04
doi:10.3969/j.issn.1000-6729.2010.04.011
Relationships between injury and alcohol use in 493 patients from emergency room
of a general hospital
ZHUO Chuan-Jun,LI Bing,LI Ji-Tao,HUANG,Yue-Qin
, http://www.100md.com
Peking University Institute of Mental Health,Key Laboratory of Mental Health,Ministry of Health
(Peking University)Beijing 100191,China
Corresponding author,HUANG Yue-Qin,E-mail:huangyq@bjmu.edu.cn
【Abstract】Objective:To determine the relationship between injury and alcohol use in patients with injury.Methods:Totally 493 patients(age ≥18 years)who came to the emergency room within 6 h after the injury and been treated for the first time were studied.We use the American National Institute of Health protocol to investigate trauma type,intentional injury,drinking before injury,drinking volume,interval between drinking and injury,drinking history in the past year and so on in this cross-sectional study,and the case-crossover method to analyze the data.Results:Compared with the non-drinkers,subjects who had drunk 6 h before injury had a higher risk of suffering from injury( OR=1.75,95%CI:1.06~2.87).Subjects who had drunk no less than 9 standard drinks of alcohol 6 h before injury had a higher risk of suffering from injury than that of non-drinkers(OR=13.0,95%CI:3.90~43.0).Compared with the non-drinkers,subjects who had drunk 6 h before injury had a higher risk of suffering from intentional injury(7.50,95% CI:1.94 to 28.0).Patients who were male,drunk,lower educational levels and positive for alcohol test had more possibility suffering form intentional injury.However,most of the intentional injury occurred within 1 h after drinking.Patients who suffered from intentional injury had drunk more frequently in the past one year than others.Conclusion:Alcohol use prior to injury is associated with an increased risk of trauma and intentional injury.
, http://www.100md.com
【Key words】 emergency;injury;alcohol;cross-sectional study;case-crossover study
饮酒会使外伤的风险增加,国外很多学者的研究已经证明了这一点[1]。酒精使用引起的外伤及沉重的疾病负担在全球多个国家已形成共识[2] 。发展中国家由于居民酒类消费的增加,伤害发生率显著上升,已经成为国家卫生的一个重大负担[3]。因此,酒精引起的致命和非致命性伤害应作为监测系统的一个重要内容,但是目前绝大多数的发展中国家在这方面还缺乏系统的相关数据。为了了解发展中国家饮酒与外伤之间的关系,为酒精滥用的干预策略和健康教育提供依据,NIH(National Institute Of Health 美国国家卫生院)于2003年开始一项国际间的合作研究,进行以急诊室为基础饮酒与外伤关系的调查研究。本研究为NIH资助的北京地区研究项目。
1 对象和方法
, 百拇医药
1.1 对象
2008年5月19日至2008年7月26日在北京某三甲医院急诊就诊的外伤患者,年龄≥18岁,受伤时间至急诊时在6 h以内,且为首次治疗的患者,所有患者在调查前均签署知情同意。
共选择患者541例,其中拒绝者43例,未完成问卷者5例,实际有效问卷493例,其中男349例,女144例。 受伤前6 h内饮酒者与未饮酒者的平均年龄(31.7 vs.42.2,P=0.46)、受教育程度(高中及以下:40.8% vs.40.0;大学及以上:59.2% vs.54.9%,P=0.51)、居住地(本地,90.1% vs.84.1%;外地,9.9% vs.15.8%;P=0.19)差异均无统计学意义;受伤前6 h内饮酒者男性构成多于未饮酒者(88.7% vs.58.0%,P<0.001)。, 百拇医药(禚传君 李 冰 李继涛 黄悦勤)