Fuentes Alvarez M D, Llorente Suárez L, Bousquets Toral L, Artimez M L, Rodrigo Sáez L
Médicos de Atención Primaria. Hospital Central de Asturias, Faculted de Medicina de Oviedo.
An Med Interna. 1995 Nov;12(11):524-9.
To determine the prevalence of alcoholism in a rural area of Asturias and the usefulness of others clinical and analytical parameters for a rapid detection of its related pathology.
We conducted a cross-sectional descriptive study on a sample of 198 persons, divided into two groups (Group I: Heavy-drinkers and Group II: Moderate and nondrinkers), according with alcohol daily intake. The limit for the classification was the consumption of 80 or more grams of ethanol/day in men, and 60 g/day or more in women. Data about physical findings and blood biochemistry were collected and compared into the two groups.
The prevalence of alcoholism in group I, was of 16.5% and the mean age of 54.3 +/- 11.4 years with increased proportion of males over females with a ratio of 7.25/1. The main analytical parameters useful as indicators of heavy alcohol consumption were an increase of AST, ALT, GGT, Total Cholesterol, Uric acid and gammaglobulin levels. We found a significative relation between legal problems and alcohol consumption (p < 0.005) as well as an increased prevalence of chronic obstructive lung diseases (p < 0.005). Digestive diseases as a whole, were most frequently associated with heavy alcohol consumption.
This paper confirms the finding of a increased alcohol consumption in this mainly agricultural area of Asturias (Spain) in 16.5% and also confirms the usefulness of the use of simple clinical and analytical parameters for its detection in order to permit an earlier diagnostic and better use of preventive measures.
确定阿斯图里亚斯农村地区酒精中毒的患病率,以及其他临床和分析参数对快速检测其相关病理的有用性。
我们对198人进行了一项横断面描述性研究,根据每日酒精摄入量分为两组(第一组:酗酒者;第二组:中度饮酒者和不饮酒者)。分类界限为男性每天摄入80克或更多乙醇,女性每天摄入60克或更多。收集两组的身体检查结果和血液生化数据并进行比较。
第一组酒精中毒的患病率为16.5%,平均年龄为54.3±11.4岁,男性比例高于女性,比例为7.25/1。作为重度酒精消费指标的主要分析参数是谷草转氨酶、谷丙转氨酶、γ-谷氨酰转肽酶、总胆固醇、尿酸和γ-球蛋白水平升高。我们发现法律问题与酒精消费之间存在显著关系(p<0.005),慢性阻塞性肺疾病的患病率也有所增加(p<0.005)。总体而言,消化系统疾病与重度酒精消费最为相关。
本文证实了在西班牙阿斯图里亚斯这个主要农业地区,酒精消费增加的比例为16.5%,同时也证实了使用简单的临床和分析参数进行检测的有用性,以便能更早诊断并更好地采取预防措施。