Lee Kai H, Hughes Andrew
Oral & Maxillofacial Surgery Unit, Department of Surgery, Western Health, St. Albans, Australia.
Medical Officer, Gold Coast Hospital, Southport, Australia.
Oral Maxillofac Surg. 2017 Sep;21(3):281-288. doi: 10.1007/s10006-017-0639-9. Epub 2017 Jun 30.
Facial trauma is commonly associated with excessive consumption of alcohol and is often associated with interpersonal violence or motor vehicle accidents. Alcohol-related trauma presentation to hospitals causes a major service burden, and there have been efforts to reduce such trauma load with educational programs and social support. Brief alcohol intervention (BAI) in an acute setting (emergency department or trauma centre) has been shown as an effective means to reduce future alcohol intake and the incidence of future alcohol-related injuries, especially in the period immediately following injuries. Less is known about the potential benefit of BAI when provided by the surgical team in the same clinical context. This article explores the individual component of brief alcohol intervention and its provision by an acute surgical service by way of a narrative review. The progress of research into brief alcohol intervention for facial trauma patients is also reviewed. The methods and rationale behind screening patients for targeted BAI are discussed in a separate article.
面部创伤通常与过度饮酒有关,并且常常与人际暴力或机动车事故相关。因酒精相关创伤而前往医院就诊给医疗服务带来了巨大负担,人们已通过教育项目和社会支持来努力减轻此类创伤负担。在急性环境(急诊科或创伤中心)进行简短酒精干预(BAI)已被证明是减少未来酒精摄入量以及未来酒精相关损伤发生率的有效手段,尤其是在受伤后的 immediately 时期。对于手术团队在相同临床环境中提供BAI的潜在益处,人们了解较少。本文通过叙述性综述探讨了简短酒精干预的各个组成部分及其由急性外科服务提供的情况。还综述了对面部创伤患者进行简短酒精干预的研究进展。在另一篇单独的文章中讨论了针对目标BAI对患者进行筛查的方法和基本原理。