Persson J, Magnusson P H
Department of Internal Medicine, Central Hospital, Karlstad, Sweden.
Acta Med Scand. 1988;223(2):101-9. doi: 10.1111/j.0954-6820.1988.tb15773.x.
A study of excessive alcohol consumption was carried out on 2,114 adult somatic outpatients. All patients were evaluated by the following methods: Blood-chemical tests (serum gamma-glutamyltransferase (S-GT), serum aspartate aminotransferase (S-ASAT) and ethanol), patient's and doctor's questionnaires, and analysis of data from psychiatric records, social welfare registers and alcohol ambulatory services. Records from psychiatric clinics detected 48% of the patients. Forty per cent of the alcohol patients had S-GT levels greater than 0.9 mu kat/l. S-ASAT and blood ethanol levels were of little informative value. The doctors recognized excessive consumption (greater than 280 g of ethanol/week). The combination of S-GT and questionnaires to patients and doctors detected 63% of the alcohol patients. Both in epidemiological studies and in clinical practice it seems appropriate to use combinations of different methods to detect patients with underlying alcohol problems.
对2114名成年躯体门诊患者进行了一项关于过度饮酒的研究。所有患者均通过以下方法进行评估：血液化学检测（血清γ-谷氨酰转移酶（S-GT）、血清天冬氨酸转氨酶（S-ASAT）和乙醇）、患者和医生问卷，以及对精神科记录、社会福利登记册和酒精门诊服务数据的分析。精神科诊所的记录查出了48%的患者。40%的酒精患者S-GT水平高于0.9微摩尔/升。S-ASAT和血液乙醇水平的信息价值不大。医生识别出了过度饮酒情况（每周乙醇摄入量超过280克）。S-GT与对患者和医生的问卷相结合查出了63%的酒精患者。在流行病学研究和临床实践中，使用不同方法的组合来检测存在潜在酒精问题的患者似乎都是合适的。
