绵阳地区2006年至2010年急性酒精中毒发病规律  

Epidemiologic pattern of acute alcohol intoxication in Mianyang from 2006 to 2010

作　　者：冯守映 李银先[2] 骆贵强 汤道雄[2] 邓绍富 李远建 

机构地区：[1]四川省绵阳市紧急救援指挥中心,四川绵阳621000 [2]四川省绵阳市第三人民医院,四川绵阳621000 [3]成都市急救指挥中心,四川成都610041

出　　处：《中国中西医结合急救杂志》2012年第6期364-366,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：四川省医药卫生科研课题（090244）

摘　　要：目的分析四川省绵阳地区急性酒精中毒的流行病学变化趋势，为急性酒精中毒的防治提供科学依据。方法收集2006年1月1日至2010年12月31日经绵阳市紧急救援指挥中心受理的急性酒精中毒病例数据，以在急救疾病谱中所占比例、性别、年龄、时间、地域、季节分布作为观察指标，将资料建立数据库后进行统计分析。结果共有1425例急性酒精中毒患者接受院前急救，占5年内全部接受院前急救总病例的3．15％，各年度所占比例介于2．74％～4．34％，以2006年比例最高（4．34％），2010年比例最低（2．74％）；20-40岁的男性为好发人群。2008年（角均数=33．522°，角标准差=113．050°）、2009年（角均数=-12．127°，角标准差=116．937°）具有季节高峰，其余各年度无明显季节性。各年度均有急救高峰时间段，集中在18：03（角均数=-27．040°,角标准差=-64．464°）至次日02：42（角均数=-27．040°，角标准差=64．464°，P〈0．05）；在绵阳主城区占73．97％～85．01％，并呈逐年下降趋势。结论绵阳地区急性酒精中毒在主城区中青年男性人群中高发，政府应强化社会公共管理，引导公众合理饮酒及健康的生活方式，合理安排急救资源，方能减少急性酒精中毒及其并发症的发生。Objective To analyze the epidemiological trend of acute alcohol intoxication in Mianyang and provide a scientific basis for its prevention and treatment. Methods The acute alcohol intoxication cases accepted by Emergency Command Center in Mianyang from January 1, 2006 to December 31, 2010 were collected, and the proportion in the first aid disease spectrum, gender, age, time, geographic and seasonal distribution were used as the observed indicators to establish a database for statistical analysis. Results A total of 1425 cases of acute alcohol intoxication patients accepted the pre-hospital emergency medical care, which was accounted 3.51% of all the pre-hospital emergency cases accepted from 2006 to 2010, and the ratio of each year ranged from 2.74% to 4.34%, the maximum was in 2006 （4.34%） while the minimum was in 2010 （2.74%）. Susceptible population was male aged 20 to 40. There was a seasonal peak in 2008 （mean angle = 33.522°, standard deviation angle = 113.050°） and 2009 （mean angle=-12.127°, standard deviation angle= 116.937°）, but in other years, no such phenomenon was seen. There was a first aid peak time in each year concentrated from 18：03 （mean angle=-27.040° , standard deviation angle =-64.464° ）to 02：42 of the next day （mean angle =-27.040° , standard deviation angle = 64.464° , P〈0.05 ）, its incidence was accounted for 73.97% to 85.01% in the main area of Mianyang, and it represented a decline tendency in these years. Conclusions The acute alcohol intoxication mainly occurred in middle-aged male population in the main city of Mianyang. In order to reduce the occurrence of acute alcohol intoxication and its complications, the government should strengthen the social and public management, guide the public to drink and live in a healthy style, and arrange the first aid resources reasonably.

关 键 词：急性酒精中毒 并发症 院前急救 流行病学 

分 类 号：R459.7[医药卫生—急诊医学] R181.2[医药卫生—治疗学]