国内3个城市综合医院急诊饮酒模式和伤害风险的相关性研究

Association between drinking patterns and injuries in emergency room in three domestic general hospitals

目的:探讨饮酒模式(饮酒量与频率)与伤害类型(故意伤害和非故意的交通伤害)之间的相关性。方法:对年龄≥18岁,受伤时间在6 h以内,且为首次治疗的伤害患者1 539例进行调查。主要内容为:伤害类型、伤害前6 h时是否饮酒、饮酒量及频率和过去1年饮酒情况等。数据统计用logiSTiC回归分析和病例交叉分析。结果:伤害前6 h饮酒者遭受故意伤害的风险高于伤前未饮酒者(or=3.63),过去一年中的饮酒频率≥1次者遭受故意伤害的风险高于未饮酒者(or=1.986)。过去1年中分别饮酒5~11个标准杯和饮酒12个标准杯及以上的频率≥1次者遭受故意伤害的风险均高于未饮酒者(or分别为1.854和1.572)。伤害前6 h内饮酒者遭受交通伤害的风险高于伤前未饮酒者(or=2.091)。过去1年中饮酒频率≥1次者发生交通伤害的风险高于未饮酒者(or=1.533)。病例交叉分析法发现伤前6 h内饮酒者的所有伤害风险都高于伤前未饮酒者(or=5.15)。伤前饮酒量分别低于6个标准杯、6~9个标准杯和9个标准杯以上的伤害风险均高于伤前未饮酒者(or值分别为3.83,8.64和9.58)。结论:伤害前6 h饮酒增加了故意伤害和非故意的交通伤害风险。过去1年中饮酒频率≥1次者发生故意伤害和非故意的交通伤害的风险增加。伤害前6 h内饮酒增加所有伤害发生的风险,随着饮酒量的增加,伤害发生的风险随之增加。伤害前6 h饮酒及过去1年的饮酒模式与伤害发生关系密切,为酒的相关政策的制定提供了科学依据。

Objective: To determine the association between drinking patterns(the volume of drinking and frequency) and injury type(intentional injury and unintentional traffic injury).Methods: A total of 1 539 patients(age≥18 years), who were treated for the first time in the emergency room within 6 h after the injury, were included. The American National Institute of Health questionnaire was used to investigate the injury type, time point of drinking, drinking volume, and drinking history in the past years and so on. The case-crossover method and logistic regression was used to analyze the data.Results: Comparing with the control, people with alcohol consuming 6 h before the injury showed a higher risk of intentional injury(OR=3.63). Comparing with people without drinking in the past year, subjects who drank alcohol more than once in the past year displayed a higher risk of intentional injury(OR=1.986). Comparing with non-drinkers, subjects who drank alcohol 5–11 standard drinks or 12 and more drinks on one occasion in the past year had a higher risk of intentional injury(OR=1.854 or 1.572). Comparing with the non-drinkers, victims who drank alcohol 6 h before injury had a higher risk of unintentional traffic injury(OR=2.091). Comparing with non-drinkers in the past year, subjects who drank alcohol more than once in the past year had a higher risk of unintentional traffic injuries(OR=1.533). Comparing with the non-drinkers, subjects who drank alcohol 6 h before injury had a higher risk of injury(OR=5.15). Subjects who drank Less than 6 standard drinks, 6–9 standard drinks and more than 9 standard drinks of alcohol 6 h separately before injury had higher risk than non-drinkers(OR=3.83, 8.64 or 9.58). Conclusion: Drinking alcohol before injury is associated with higher risk of intentional injury and unintentional traffic injury. Over the past year, subjects who drank alcohol at least once have higher risk of intentional injuries and unintentional traffic injury. Drinking alcohol 6 h before injury is associated with higher risk of injuries. The risk is increasing with the volume of drinking before injury. The study demonstrates that drinking 6 h before injury and drinking patterns in the past year are closely associated with injuries, which provides scientific evidences for making policy relevant to alcohol consuming.