508名急诊患者外伤与饮酒的相关性  

Relativity between Injury and Alcohol Use

作　　者：向小军[1] 李荣国[2] 王绪轶[1] 谌红献[1] 廖艳辉[1] 郝伟[1] 

机构地区：[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

出　　处：《中国临床心理学杂志》2014年第2期285-287,共3页Chinese Journal of Clinical Psychology

基　　金：美国国立卫生研究院基金(NIH-NIDDK-07-302)

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： To- tally 508 emergency patients（age≥Syears） who got injury within 6h were recruited. We used the American National Insti- tute 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=l.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 in- jury had a higher risk of suffering from injury than that of non-drinkers（OR=3.88, 95%CI： 1.65-9.13）. Conclusion： Alco- hol use prior to injury is associated with increased risk of trauma.

关 键 词：急诊 外伤 饮酒 故意伤害 

分 类 号：R395.2[哲学宗教—心理学]