北京某综合医院493名患者急诊外伤及饮酒关系.doc

北京某综合医院493名患者急诊外伤及饮酒关系【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 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 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.省略 【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 highe