饮酒模式与急诊酒精相关故意、非故意外伤

Relation of alcohol drinking pattern to alcohol-related intentional and unintentional injury in emergency department

目的:探究饮酒模式与故意伤害和非故意伤害的关系。方法:使用美国国立卫生研究院提供的问卷收集所有与饮酒和伤害相关的信息,对18岁及以上受伤后6 h内首次急诊治疗的508例患者进行调查;采用呼吸酒精测试仪测定血液酒精浓度。采用单因素和多因素logistic回归分析,对饮酒模式与故意伤害和非故意伤害的关系进行分析。结果:97例经历酒精相关伤害(19.1%)故意伤害30例(30.9%)非故意伤害67例(69.1%)。411例非酒精相关伤害中遭受故意伤害36例(8.8%),非故意伤害375例(91.2%)。年龄≤30岁(OR=3.42)、酒精浓度测试阳性(OR=2.91)、发作性狂饮模式(OR=3.27)、重度饮酒模式(OR=6.10)是酒精相关故意伤害的危险因素。结论:发作性狂饮模式和重度饮酒模式会增加酒精相关故意伤害风险,需要改变不良饮酒模式,降低发生故意伤害的可能性。

Objective:To explore the relationship between drinking patterns and intentional and unintentional injury.Methods:A structural questionnaire provided by the National Institutes of Health was adopted to collect all the related information about drinking and injury.508 adult patients who had been treated for the first time in the emergency department within 6 hours after injury were were investigated.Adopted a breath alcohol analyzer(provided by NIAAA) to test the blood alcohol content(BAC).Adopted single factor and multiple factor Logistic regression analysis to perform the analysis the relationship between drinking patterns and intentional and unintentional injury.Results: 97 cases were defined as alcohol-related injuries(19.1%),30(30.9%)attacked by intentional injury and 67(69.1%) attacked by unintentional injury.Among 411 none alcohol related injuries,36(8.8%)attacked by intentional injury and 375(91.2%) attacked by unintentional injury.Age≤30 years(OR=3.42),positive for alcohol test(OR=2.91),binge drinking mode(OR=3.27),heavy drinking mode(OR=6.10) were the risk factors of been attacked by alcohol-related intentional injury.Conclusion:Binge drinking mode and heavy drinking pattern increased the risk of been attached by alcohol-related intentional injury.Bad drinking patterns need to be changed to reduce the possibility of intentional injury.