发作性狂饮酒与故意伤害发生率的关系:一项基于急诊室非致命性外伤的研究  

Relationship between binge drinking and incidence of intentional injury events: A study based on the data of emergency room

作　　者：潘文颖 陈佳悦 周丹[1] 李然立 陈新英 罗兰兰 Chou SP 陈征 禚传君 PAN Wenying;CHEN Jiayue;ZHOU Dan(Tianjin Mental Health Center Affiliated to Tianjin Medical University,Tianjin Anding Hospital,Tianjin 300222,China)

机构地区：[1]天津医科大学附属天津精神卫生中心,天津市安定医院,天津市300222 [2]天津医科大学总医院 [3]美国国立卫生研究院酒精滥用与中毒研究所

出　　处：《精神医学杂志》2022年第4期349-353,共5页Journal of Psychiatry

基　　金：世界卫生组织-美国酒精滥用与中毒研究所基金[编号:WHO-NIH-NIAAA(HHSN275201500236P)]。

摘　　要：目的 探讨发作性狂饮酒与故意伤害发生率的关系。方法 根据美国国家酒精滥用和酒精中毒研究所(NIAAA)的要求,招募521例急诊室非致命性外伤患者,调查受试者受伤前6 h及过去12个月的饮酒模式。采用Logistic回归模型估计受伤前6 h及过去12个月饮酒模式与故意伤害发生率之间的关系。结果 故意伤害就诊者与意外伤害就诊者在性别、年龄、受伤前饮酒情况以及过去12个月内饮酒模式上比较差异有统计学意义(P<0.05)。Logistic回归分析结果显示,年龄与故意伤害的风险呈负相关,男性为故意伤害的危险因素。在校正回归模型中的性别、年龄对故意伤害的影响后发现,受伤前6 h饮酒是故意伤害的危险因素(P<0.05),且饮酒≥12个标准杯者比5~11个标准杯者故意伤害发生率更高;对于过去12个月饮酒者,平时一次饮酒≥12个标准杯者比5~11个标准杯者发生故意伤害事件的风险更高。结论 发作性狂饮酒增加故意伤害发生率。Objective To explore the relationship between binge drinking and incidence of intentional injury events. Methods According to the requirements of National Institute of Alcohol Abuse and Alcoholism(NIAAA), 521 injured patients in the emergency room were enrolled in the study to investigate subjects’ drinking patterns 6 hours and 12 months before their injuries. Logistic regression analysis was used to estimate the association between drinking patterns and the incidence of intentional injury. Results There were significant differences in genders, ages, drinkings before injury and drinking patterns in the past 12 months between intentional injury patients and accidental injury patients(P<0.05). Logistic regression analysis showed that age was negatively related to the risk of intentional injury, and male was the risk factor for intentional injury. After adjusting the effects of gender and age on intentional injury in the regression model, it was found that drinking alcohol 6 hours before injury was a risk factor for intentional injury(P<0.05), and the incidence of intentional injury was higher in those who drank more than 12 standard cups than in those who drank 5~11 standard cups. For drinkers in the past 12 months, those who have drank≥12 standard cups at ordinary times had a higher risk of intentional injury than those who have drank 5~11 standard cups. Conclusion The drinking pattern of binge drinking can increase the risk of the incidence of intentional injury.

关 键 词：发作性狂饮酒 故意伤害 危险因素 

分 类 号：R749.62[医药卫生—神经病学与精神病学]