彝族和汉族人群酒依赖临床特征的差异及其和酒文化的关系  

The comparative analyses of drinking culture and clinical characteristics of alcoholism patients between Yi and Han ethnic group

作　　者：周进伟 李中才 冯治文 张银美 杜正艳 张晓洁[2] ZHOU Jinwei;LI Zhongcai;FENG Zhiwen(The Second People's Hospital of Chuxiong Prefecture,Yunnan Province,Chuxiong 675000,China)

机构地区：[1]云南省楚雄州第二人民医院,楚雄675000 [2]中南大学湘雅二医院精神卫生研究所

出　　处：《国际精神病学杂志》2024年第4期1165-1169,1181,共6页Journal Of International Psychiatry

基　　金：国家自然科学基金资助项目(编号:82271535);楚雄医药高等专科学校科学研究基金项目(编号:2023YYXM47)。

摘　　要：目的探讨彝族自治州地区彝族和汉族酒文化及酒依赖患者的饮酒行为及临床特征的相关性并比较不同民族之间的差异,为彝族酒精依赖的防治提供思路。方法采集彝族和汉族酒依赖患者的一般资料,饮酒习惯,抑郁焦虑症状评分和肝功能,比较分析两个民族酒依赖各项指标与饮酒特征的相关性。结果与汉族酒依赖患者相比,彝族酒依赖患者开始饮酒的年龄小,饮酒年限长,酒依赖严重程度高,焦虑抑郁程度低。结论彝族人群对酒精有害健康的意识较低,酒精过量使用和酒依赖恶化的风险较高,需加强健康饮酒的科普宣讲。Objective This study aims to analyze and compare the drinking behaviors,liver function,depression and anxiety,and severity of alcohol dependence between Yi and Han alcohol dependent patients in the Yi Autonomous Prefecture,in order to provide scientific basis for the prevention and treatment of Yi alcohol dependence.Methods The general information questionnaire,drinking habits,the severity of alcohol dependence,depression and anxiety evaluation and liver function of Yi male patients and age-matched Han male patients were collected.The drinking behaviors,liver function,and drinking-related clinical characteristics of Yi and Han alcohol dependence patients were compared and analyzed.Results Yi ethnic alcohol dependent patients had a significantly lower age at which they started drinking,longer drinking years,more severe alcohol dependence,and lower levels of anxiety and depression,compared with Han ethnic alcohol dependent patients.Conclusion Society and medical staff should strengthen the awareness of the Yi ethnic group about the harmful health of alcohol,reduce the risk of excessive alcohol use and disease progression.

关 键 词：酒依赖 彝族 焦虑抑郁 肝功能 

分 类 号：R749.99[医药卫生—神经病学与精神病学]