Orrego H, Blake J E, Blendis L M, Kapur B M, Israel Y
Lancet. 1979;2(8156-8157):1354-6. doi: 10.1016/s0140-6736(79)92831-9.
In 37 patients with alcoholic liver disease urinary alcohol was measured daily for up to 6 months. Every week the patients were asked about their drinking during the past week. Those who convinced the physicians of their abstinence were recorded as not drinking. Patients with alcohol in their urines convincingly denied alcohol intake 52% of the times that they were questioned. 25% of them denied drinking every time. Only 17% of all patients admitted it at all times. Patients who always admitted to drinking had an average urinary alcohol value of 1420 +/- 66 mg/l, compared to 81 +/- 5 mg/l in those who denied drinking every time. Those who admitted drinking intermittently had significantly higher urinary alcohol values (1001 +/- 57 mg/l) when admitting than when denying (538 +/- mg/l). The personal interview should not be used to separate populations of abstainers and non-abstainers in the follow-up of alcoholic patients. On the other hand, deniers appear to consume less alcohol than those who admit their drinking.
对37例酒精性肝病患者连续6个月每日测量尿酒精含量。每周询问患者过去一周的饮酒情况。那些使医生相信其已戒酒的患者被记录为不饮酒。尿中含酒精的患者在52%被询问的情况下令人信服地否认饮酒。其中25%每次都否认饮酒。所有患者中只有17%始终承认饮酒。始终承认饮酒的患者尿酒精平均含量为1420±66毫克/升，而每次否认饮酒的患者为81±5毫克/升。那些间歇性承认饮酒的患者在承认饮酒时尿酒精含量（1001±57毫克/升）显著高于否认饮酒时（538±毫克/升）。在酒精性患者的随访中，不应通过个人访谈来区分戒酒者和未戒酒者群体。另一方面，否认饮酒者的饮酒量似乎比承认饮酒者少。
