Mehanna Patrick, Bertram Anthony, Wilson Ian
John Hunter Hospital, Lookout Road, New Lambton, Newcastle, NSW 2305, Australia.
N Z Med J. 2009 Nov 20;122(1306):84-5.
Doctors have been promoting alcohol as a health tonic for a very long time. The last 30 years has seen the accumulation of a considerable medical literature investigating the potential role of alcohol use as a protection against coronary heart disease. When viewed through the lens of two major early reviews in the mid-1980s, Sir Richard Doll's contributions of the mid-1990s, two large meta-analyses of 10 years ago and two most recent overviews, the health-giving properties of alcohol use become increasingly debatable. The influence of the alcohol industry is raised as a factor in the exaggeration of alcohol use as a health intervention, in similar fashion to activities of pharmaceutical companies. The status of alcohol as a potentially dangerous recreational drug is emphasised as a warning against talking up alcohol as a cardio-protection manoeuvre by anyone.
长期以来,医生们一直在宣扬酒精是一种健康滋补品。在过去30年里,积累了大量医学文献,研究饮酒作为预防冠心病的潜在作用。从20世纪80年代中期的两项主要早期综述、理查德·多尔爵士在90年代中期的贡献、10年前的两项大型荟萃分析以及最近的两项综述来看,饮酒对健康有益的特性越来越值得商榷。酒精行业的影响被认为是夸大饮酒作为一种健康干预手段的一个因素,这与制药公司的行为类似。强调酒精作为一种潜在危险的娱乐性药物的地位,以此警告任何人不要鼓吹饮酒是一种心脏保护手段。