Antti-Poika I, Karaharju E
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Injury. 1988 May;19(3):198-200. doi: 10.1016/0020-1383(88)90015-0.
The injuries of 438 consecutive men of working age (20-64 years) were investigated. These patients were admitted to the Department of Orthopaedics and Traumatology of the Helsinki University Central Hospital. The MAST interview was used as the criterion for heavy drinking. Of the whole series 27.4 per cent met the heavy drinking criterion and in 36.4 per cent alcohol intoxication (AI) was present on admission. AI was more common in heavy drinkers (62 per cent) compared with the controls (23 per cent) (chi 2 test, P less than 0.001). S-GGT was elevated in 34 per cent of the heavy drinkers. Elevated levels of S-GGT among heavy drinkers also correlated with postoperative complications. The hospital stay of the heavy drinkers compared with the controls was statistically significantly longer (10.7 days versus 7.3 days). Although the proportion of alcohol intoxication among heavy drinkers was high, of the heavy drinkers almost 40 per cent were sober on admission. Interviews, such as MAST are recommended for use routinely with injured patients to assess alcohol abuse 'through accidents'.
对438名年龄在20至64岁之间的连续工作年龄段男性的损伤情况进行了调查。这些患者被收治于赫尔辛基大学中心医院的骨与创伤科。采用MAST访谈作为重度饮酒的标准。在整个系列中，27.4%的人符合重度饮酒标准，36.4%的人在入院时存在酒精中毒（AI）。与对照组（23%）相比，AI在重度饮酒者中更为常见（62%）（卡方检验，P<0.001）。34%的重度饮酒者谷氨酰转肽酶（S-GGT）升高。重度饮酒者中S-GGT水平升高也与术后并发症相关。与对照组相比，重度饮酒者的住院时间在统计学上显著更长（10.7天对7.3天）。尽管重度饮酒者中酒精中毒的比例很高，但几乎40%的重度饮酒者在入院时是清醒的。建议对受伤患者常规使用MAST等访谈来“通过事故”评估酒精滥用情况。
