高血压和酒精:一个横截面研究,比较PEth与AUDIT和AUDIT-C在初级保健中
Åsa Thurfjell1,2, Maria Hagströmer2,3,4, Charlotte Ivarsson2
1Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, 141 83 Huddinge, Sweden.
Family practice
|January 9, 2026
概括
与AUDIT测试不同的是,酸乙醇 (PEth) 检测出明显耐治疗高血压患者的酒精消耗较高. 在高血压管理中,PEth和AUDIT-C显示出确定酒精使用的前景.
科学领域:
- 心脏病学 心脏病学
- 临床生物化学 临床生物化学
- 公共卫生 公共卫生
背景情况:
- 高血压管理需要了解饮酒等生活方式因素.
- 生物标志物和酒精使用查工具的有效性各不相同.
研究的目的:
- 为了比较脂乙醇 (PEth),酒精使用障碍识别测试 (AUDIT) 和AUDIT-消费 (AUDIT-C) 在高血压患者中识别酒精使用的实用性.
- 分析酒精消费指标与血压控制水平之间的关系.
主要方法:
- 一项涉及270名高血压患者的横截面研究,通过血压控制分层 (受控,不受控制,明显耐治疗的高血压[aTRH]).
- 使用PEth,AUDIT和AUDIT-C进行酒精消费评估,并预先定义了危险使用的门值.
- 对酒精使用指标的分析与血压控制组和性别相关.
主要成果:
- 与受控 (6.4%) 和不受控制 (5.3%) 组相比,aTRH组 (19.2%) 的饮酒量显著增加.
- 审计没有发现BP对照组中危险酒精使用的显著差异.
- 与AUDIT相比,AUDIT-C和PEth发现了更多危险的酒精使用,而PEth与AUDIT-C的相关性更强.
结论:
- 在检测明显耐治疗高血压患者的酒精使用时,PEth比AUDIT更为敏感.
- 在高血压治疗中,AUDIT-C和PEth可能是启动有关酒精消费的讨论的有价值的工具.
- 这些发现支持将酒精使用查纳入综合性高血压管理.
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