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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。
Objectives: To explore the relationship between alcohol consumption and the risk of trauma. Methods: A total of 508 traumatic patients aged ≥18 years and injured within 6 hours were treated with the NIH questionnaire. The types of traumatic injury, alcohol consumption before trauma, alcohol consumption before trauma, alcohol consumption in the past year, etc. Conduct surveys and use case-by-case analyzes to study the relationship between alcohol consumption and the risk of trauma. Results: The risk of traumatic injury of drinkers 6h before injury was higher than that of non-drinkers before injury (OR = 2.11, 95% CI: 1.48-3.03) (OR = 1.56, 95% CI: 1.03-2.37). The risk of trauma of 6 to 9 standard cups at 6h before injury was higher than that of non-drinkers (OR = 3.52, 95% CI: 1.66-7.50) The risk of trauma at 9 h and 6 h before injury was significantly higher in those who had alcohol consumption than in those who did not drink prior to injury (OR = 3.88, 95% CI: 1.65-9.13). Conclusion: Alcohol consumption within 6 hours before injury increases the risk of trauma. With the increase of alcohol consumption, the risk also increases. It is necessary to control the bad drinking behavior and reduce the occurrence of alcohol related trauma.