手术患者术前饮酒与健康状况的流行病学调查  

Study on the Relationship between Preoperative Alcohol Consumption and Health Status in the Patients

作　　者：郑宏[1] 华玉思[1] 朱素洁[1] 邹田田[1] 杨龙[1] 宣燕[1] 

机构地区：[1]新疆医科大学第一附属医院麻醉科,新疆维吾尔自治区乌鲁木齐市830011

出　　处：《中国全科医学》2011年第14期1578-1581,共4页Chinese General Practice

基　　金：新疆维吾尔自治区自然科学基金项目(2009211B19)

摘　　要：目的调查外科手术患者术前饮酒状况与其健康的关系,为饮酒的手术患者实施合理的术前干预提供依据。方法采用统一调查问卷,根据世界卫生组织对饮酒的定义将手术患者分为饮酒组和对照组,以面对面询问的形式调查840例手术患者过去饮酒及其健康状况。对可能与饮酒有关的健康问题进行单因素和多因素Logistic回归分析,以寻找两者的关系。结果被调查的840例手术患者中,399例饮酒(47.5%),其中男240例,女159例,男、女饮酒率分别为67.2%(240/357)和32.9%(159/483)。单因素分析表明心脏病(OR值=0.501)、高血压病(OR值=0.421)、脂肪肝(OR值=3.192)、高脂血症(OR值=0.481)、肥胖(OR值=2.138)是手术患者术前伴随的健康问题。多因素Logistic回归分析表明与饮酒有关的健康问题有心脏病(OR值=0.49)、糖尿病(OR值=0.07)、脂肪肝(OR值=4.31)、高脂血症(OR值=0.42)。结论入院外科手术患者饮酒已经成为不可忽视的重要问题,且严重影响了心血管系统的功能,手术与麻醉的实施增加了相应的风险,须引起足够的重视,做好麻醉与术前的评估和准备。Objective To explore the relationship between health status and preoperative alcohol consumption in the patients and to provide evidence for preoperative intervention.Methods Patients were divided into alcohol exposure group and control group in accordance with the criteria provided by the WHO.An epidemiological survey was performed in 840 patients through face-to-face interview,which was to record general information and the history of alcohol intake and diseases within the past years.The difference of related problems and alcohol intake between exposure and control group were compared by univariate and multivariate Logistic regression analysis and the OR value was calculated.Results The incidence of alcohol intake was 47.5% among the 840 interviewees,with male 240 cases and female 159 cases.The incidence of alcohol intake for male and female was 67.2%（240/357） and 32.9%（159/483） respectively.Healthy problems for preoperative patients were heart disease（OR=0.501）,hypertension（OR=0.421）,fatty liver（OR=3.192）,hyperlipidemia（OR=0.481）,obesity（OR=2.138） according to univariate analysis.Data from multivariate logistic regression analysis showed that healthy problems related to alcohol intake were heart disease（OR=0.49）,diabetes mellitus（OR=0.07）,fatty liver（OR=4.31）,hyperlipidemia（OR=0.42） etc.Conclusion The incidence of alcohol intake in the patients is high.The risk of cardiovascular disease was higher among exposure group than the control group,which should draw more attention from the doctors and patients.The results suggest that appropriate intervention measures,preoperative evaluation and anesthesia are needed.

关 键 词：饮酒 流行病学 健康状况 

分 类 号：R61[医药卫生—外科学]