郑州市未成年人酒精中毒的流行病学分析

薛莹莹; 鲁利斌; 梅世月; 李木子; 成怡冰

doi:10.16835/j.cnki.1000-9817.2025195

郑州市未成年人酒精中毒的流行病学分析

doi: 10.16835/j.cnki.1000-9817.2025195

薛莹莹¹,
鲁利斌²,
梅世月^{1, 3},
李木子¹,
成怡冰^{1, 3, ,}

1.
河南省儿童医院郑州儿童医院急诊科，郑州 450018
2.
郑州市紧急医疗救援中心急救管理科
3.
河南省儿童感染与危重症诊治工程研究中心

基金项目:

河南省医学教育研究项目 Wjlx2020470

详细信息

作者简介:
薛莹莹(1969-)，女，河南郑州人，大学本科，副主任护师，主要从事儿科急重症护理工作

通讯作者:
成怡冰，E-mail：cheng202403@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 R749.6⁺² R181.3⁺²
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- 文章访问数: 9
- HTML全文浏览量: 5
- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2025-02-28
- 修回日期: 2025-04-21
- 网络出版日期: 2025-08-30
- 刊出日期: 2025-08-25

Epidemiological analysis of alcohol poisoning among minors in Zhengzhou City

XUE Yingying¹,
LU Libin²,
MEI Shiyue^{1, 3},
LI Muzi¹,
CHENG Yibing^{1, 3
, ,}

1.
Department of Emergency Medicine, Zhengzhou Children's Hospital, Henan Provincial Children's Hospital, Zhengzhou 450018, Henan Province, China

摘要

摘要: 目的分析郑州市紧急医疗救援中心(120)院前救治的未成年人酒精中毒发生特点，为探讨区域性未成年人酒精中毒管理提供依据。方法对2017—2019和2023年郑州市1 630例0~18岁因酒精中毒呼叫120的未成年人资料进行回顾性研究，分析性别、年龄、发生时间段等。采用t检验和χ²检验进行组间比较。结果 2017，2018，2019和2023年酒精中毒人数分别为291，353，483，503例；与2017年相比，2023年酒精中毒人数男生增加66.94%，女生增加104.35%。未成年人酒精中毒高发年龄段为16~18岁(85.40%)，其次为13~15岁(13.74%)。高发时间段为21:01—次日03:00(60.43%)；男生高发时间段为22:01—23:00(12.73%)，女生为2:01—3:00(11.25%)；0:01—3:00期间，男生发生数逐渐减少，而女生发生数逐渐增多。程度分布为轻度酒精中毒355例(21.78%)，中度1 035例(63.50%)，重度240例(14.72%)。结论郑州市未成年人发生酒精中毒数持续增多，多发生在夜晚至凌晨，中毒程度以中度为主；女生酒精中毒数量增长速度高于男生。应制定多种管理制度加强对未成年人饮酒行为的监管。
- 酒精中毒 /
- 流行病学研究 /
- 儿童 /
- 青少年
Abstract: Objective To analyze the characteristics of alcohol poisoning cases among minors receiving pre-hospital 120 emergency services in Zhengzhou, providing evidence for regional management strategies of alcohol poisoning among minors. Methods A retrospective study was conducted on 1 630 alcohol poisoning cases (aged 0-18 years) from Zhengzhou's 120 emergency system during 2017-2019 and 2023. Data on gender, age, occurrence timeframes were analyzed using t-test and χ² test for intergroup comparisons. Results Annual cases were 291 (2017), 353 (2018), 483 (2019), and 503 (2023). Compared with 2017, male alcohol poisoning cases increased by 66.94% while female cases surged 104.35% by 2023. The peak incidence of alcohol poisoning among minors occurred among 16-18-year-olds (85.40%), followed by 13-15-year-olds (13.74%). Most cases clustered between 21:01-03:00 (60.43%), with male cases peaking at 22:01-23:00 (12.73%) and female cases peaking at 02:01-03:00 (11.25%). Between 00:01-03:00, male cases progressively decreased while female cases increased. Severity distribution showed 355 mild cases (21.78%), 1 035 moderate cases (63.50%), and 240 severe cases (14.72%). Conclusions Zhengzhou region has experienced sustained growth in underage alcohol poisoning cases, predominantly occurring from evening to early morning with moderate severity, female cases demonstrate faster growth rates. Multifaceted regulatory measures should be implemented to strengthen supervision of underage drinking behaviors.
- Alcoholism /
- Epidemiologic studies /
- Child /
- Adolescent
注释:

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表 1 不同时间段未成年人酒精中毒性别分布情况

Table 1. Gender distribution of pediatric alcohol intoxication at different time period

时间段	人数	男生	女生
08:01—09:00	28	23(82.14)	5(17.86)
09:01—10:00	8	8(100.00)	0
10:01—11:00	10	8(80.00)	2(20.00)
11:01—12:00	9	7(77.78)	2(22.22)
12:01—13:00	6	5(83.33)	1(16.67)
13:01—14:00	11	10(90.91)	1(9.09)
14:01—15:00	24	19(79.17)	5(20.83)
15:01—16:00	24	19(79.17)	5(20.83)
16:01—17:00	19	16(84.21)	3(15.79)
17:01—18:00	20	14(70.00)	6(30.00)
18:01—19:00	25	18(72.00)	7(28.00)
19:01—20:00	48	39(81.25)	9(18.75)
20:01—21:00	84	66(78.57)	18(21.43)
21:01—22:00	141	112(79.43)	29(20.57)
22:01—23:00	187	169(90.37)	18(9.63)
23:01—24:00	172	143(83.14)	29(16.86)
00:01—01:00	172	150(87.21)	22(12.79)
01:01—02:00	154	130(84.42)	24(15.58)
02:01—03:00	159	125(78.62)	34(21.38)
03:01—04:00	115	88(76.52)	27(23.48)
04:01—05:00	78	52(66.67)	26(33.33)
05:01—06:00	49	38(77.55)	11(22.45)
06:01—07:00	48	37(77.08)	11(22.92)
07:01—08:00	39	32(82.05)	7(17.95)
注： ()内数字为构成比/%。

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参考文献(19)

[1]	急性酒精中毒诊治共识专家组. 急性酒精中毒诊治共识[J]. 中华急诊医学杂志, 2014, 23(2): 135-138. Expert Group on Diagnosis and Treatment Consensus for Acute Alcohol Poisoning. Diagnosis and treatment consensus for acute alcohol poisoning[J]. Chin J Emerg Med, 2014, 23(2): 135-138. (in Chinese)
[2]	WHO. Global status report on alcohol and health 2014[EB/OL]. (2014-05-08)[2025-02-27]. https://www.afro.who.int/publications/global-status-report-alcohol-and-health-2014.
[3]	PEACOCK A, LEUNG J, LARNEY S, et al. Global statistics on alcohol, tobacco and illicit drug use: 2017 status report[J]. Addiction, 2018, 113(10): 1905-1926. doi: 10.1111/add.14234
[4]	World Health Organization. Global status report on alcohol and health 2018[EB/OL]. (2018-09-21)[2024-09-15]. https://iris.who.int/handle/10665/274603.
[5]	全国人民代表大会. 中华人民共和国民法典[EB/OL]. (2020-06-02)[2024-09-15]. http://www.npc.gov.cn/npc/c2/c30834/202006/t20200602_306457.html.
[6]	张心中. 实用急诊手册[M]. 天津: 天津科学技术出版社, 1994: 831. ZHANG X Z. Practical emergency medicine manual[M]. Tianjin: Tianjin Science and Technology Press, 1994: 831. (in Chinese)
[7]	HEALEY C, RAHMAN A, FAIZAL M, et al. Underage drinking in the UK: changing trends, impact and interventions. A rapid evidence synthesis[J]. Int J Drug Policy, 2014, 25(1): 124-132. doi: 10.1016/j.drugpo.2013.07.008
[8]	SQUEGLIA L M, TAPERT S F, SULLIVAN E V, et al. Brain development in heavy-drinking adolescents[J]. Am J Psychiatry, 2015, 172(6): 531-542. doi: 10.1176/appi.ajp.2015.14101249
[9]	MIRIJELLO A, SESTITO L, ANTONELLI M, et al. Identification and management of acute alcohol intoxication[J]. Eur J Intern Med, 2023, 108: 1-8. doi: 10.1016/j.ejim.2022.08.013
[10]	WHO. Global status report on alcohol and health 2018[EB/OL]. (2018-09-21)[2025-02-27]. https://www.who.int/publications/i/item/9789241565639.
[11]	季成叶. 我国中学生饮酒行为流行现状[J]. 中国学校卫生, 2010, 31(10): 1153-1156. JI C Y. Prevalence of drinking behavior among Chinese secondary school students[J]. Chin J Sch Health, 2010, 31(10): 1153-1156. (in Chinese)
[12]	杨静慧, 王云, 吴迪. 高校大学生急性酒精中毒发病规律及治疗体会[J]. 中国学校卫生, 2014, 35(12): 1878-1879. YANG J H, WANG Y, WU D. Incidence pattern and therapeutic experience of acute alcohol poisoning among college students[J]. Chin J Sch Health, 2014, 35(12): 1878-1879. (in Chinese)
[13]	MOLINARO S, VINCENTE J, BENEDETTI E, et al. ESPAD report 2019[EB/OL]. (2020-11-12)[2025-02-07]. https://www.emcdda.europa.eu/publications/joint-publications/espad-report-2019_en.
[14]	MINAMI M, MIYAUCHI M, EITOKU M, et al. Comparison of emergency transport for acute alcohol intoxication before and after the coronavirus disease 2019 pandemic: a retrospective observational study[J]. Alcohol, 2024, 116: 21-27. doi: 10.1016/j.alcohol.2023.09.006
[15]	孟庆凯, 田思佳, 康旭琴, 等. 北京市中毒导致心脏骤停患者临床特征研究[J]. 中华急诊医学杂志, 2023, 32(11): 1486-1489. MENG Q K, TIAN S J, KANG X Q, et al. Epidemiology and clinical characteristics of poisoning induced cardiac arrest in Beijing[J]. Chin J Emerg Med, 2023, 32(11): 1486-1489. (in Chinese)
[16]	邹慧琼, 郝佩佩, 曹莹莹, 等. 20~22岁青年饮酒后酒精代谢的药代动力学性别差异研究[J]. 包头医学院学报, 2022, 38(11): 6-9. ZOU H Q, HAO P P, CAO Y Y, et al. Sex differences in pharmacokinetics of alcohol metabolism after drinking among youths aged 20 to 22 years[J]. J Baotou Med Coll, 2022, 38(11): 6-9. (in Chinese)
[17]	陈思宇, 林蓉, 熊莉华, 等. 广州市中学生饮酒相关知信行调查[J]. 中国学校卫生, 2017, 38(7): 1076-1079. doi: 10.16835/j.cnki.1000-9817.2023.04.005 CHEN S Y, LIN R, XIONG L H, et al. Investigation on knowledge, attitude and practice related to alcohol consumption among middle school students in Guangzhou[J]. Chin J Sch Health, 2017, 38(7): 1076-1079. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.04.005
[18]	麻慧娟, 喻颖杰, 郭丹丹, 等. 北京市2015年学龄儿童酒类饮品饮用现况[J]. 中国学校卫生, 2020, 41(1): 66-69. MA H J, YU Y J, GUO D D, et al. Analysis of alcohol drinking among school-aged children in Beijing in 2015[J]. Chin J Sch Health, 2020, 41(1): 66-69. (in Chinese)
[19]	全国人民代表大会. 中华人民共和国预防未成年人犯罪法[EB/OL]. (2020-12-26)[2023-08-17]. http://www.npc.gov.cn/npc/c30834/202012/384d7c9763c549f59c5afd8863761643.shtml.