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[在一项针对产业工人的神经职业医学研究范围内的饮酒情况调查及酒精中毒生物标志物研究结果]

[Survey of alcohol drinking and results of studies of alcoholism biological markers within the scope of a neurologic occupational medicine study of industrial workers].

作者信息

Reinhardt F, Katalinic A, Neundörfer B

机构信息

Neurologische Klinik mit Poliklinik, Univ. Erlangen-Nürnberg.

出版信息

Versicherungsmedizin. 1996 Jun 1;48(3):101-3.

PMID:8737548
Abstract

As part of a combined neurological and occupational-medical study about potentially neurotoxic agents consumption of alcohol of the probationers as possible influential factor on the nervous system was evaluated. Therefore an injury of industrial workers of different nationalities was performed about the individual alcohol consumption combined with an investigation about so-called alcoholism-markers [gamma-Glutamyltranferase (gGT), mean corpuscular erythrocytes volume (MCV) and Carbohydrate-deficient Transferrin (CDT)]. It was the aim of the study, to give an overview of the amount of alcohol consumption in male industrial workers - and to examine, to what extent connections exist between alcoholism markers and the amount of individual alcohol consumption. We found a high percentage of probationers with alcohol abstinence (53%). The test persons with anamnestic alcohol consumption indicated a mean alcohol consumption of 33,7 g per day (6 to 240 g/d). A significant correlation between changes of laboratory markers and amount of alcohol consumption could only be found for CDT. In addition there was a correlation of CDT with gGT and MCV and of gGT with MCV, but with very small correlation coefficients. After multiple logistic regression and establishing of a prediction model of the consumption of alcohol under knowledge of laboratory results an assignment of the probationers to the respective group (abstinents and/or consumers of alcohol) was not successful with sufficient safety. According to our data in a normal collective a determination of laboratory parameters, which are discussed as alcoholism markers, does not contribute to better delimitation of abstinent living and alcohol drinking persons and to a better knowledge of the amount of alcohol consumption.

摘要

作为一项关于潜在神经毒剂的神经学与职业医学联合研究的一部分,对缓刑人员饮酒作为可能影响神经系统的因素进行了评估。因此,针对不同国籍的产业工人进行了关于个人饮酒情况的调查,并结合对所谓酒精中毒标志物[γ-谷氨酰转移酶(gGT)、平均红细胞体积(MCV)和缺糖转铁蛋白(CDT)]的调查。本研究的目的是概述男性产业工人的饮酒量,并研究酒精中毒标志物与个人饮酒量之间存在何种程度的关联。我们发现戒酒的缓刑人员比例很高(53%)。有饮酒史的测试对象平均每日饮酒量为33.7克(6至240克/天)。仅在CDT方面发现实验室标志物变化与饮酒量之间存在显著相关性。此外,CDT与gGT和MCV之间存在相关性,gGT与MCV之间也存在相关性,但相关系数非常小。在进行多元逻辑回归并根据实验室结果建立饮酒预测模型后,未能成功地将缓刑人员安全地分配到相应组别(戒酒者和/或饮酒者)。根据我们的数据,在正常人群中,测定被视为酒精中毒标志物的实验室参数无助于更好地区分戒酒者和饮酒者,也无助于更好地了解饮酒量。

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