Jobanputra P
Windrush Health Centre, Witney, Oxfordshire.
J R Soc Med. 1992 Mar;85(3):159-60.
A survey of 1000 consecutive patients presenting with a new complaint in general practice was carried out to determine the frequency and types of rheumatic problems encountered and the treatments required. Sixty-three (6.3%) of these were for rheumatic complaints. Of these 43% involved the lower back. Soft tissue disorders were predominant and 54% of patients were managed with advice and reassurance only. This suggests that a greater emphasis on these disorders is necessary for doctors in training. During a minimum follow-up period of 3 months, seven (11%) of the 63 patients were referred for specialist opinions.
对在普通诊所首次出现新病症的1000名连续患者进行了一项调查,以确定所遇到的风湿性问题的频率和类型以及所需的治疗方法。其中63例(6.3%)为风湿性病症。在这些病例中,43%涉及下背部。软组织疾病占主导地位,54%的患者仅通过建议和安抚进行处理。这表明,对于正在接受培训的医生来说,有必要更加重视这些疾病。在至少3个月的随访期内,63名患者中有7名(11%)被转诊以寻求专科意见。