Sandvik H, Hunskår S, Eriksen B C
Rogaland psykiatriske sykehus, Dale i Sandnes.
Tidsskr Nor Laegeforen. 1991 Jun 20;111(16):1957-9.
139 general practitioners and 190 gynaecologists responded to a case-history questionnaire about female urinary incontinence. More gynaecologists than general practitioners reported more frequent use of leakage provocation test, neurological examination, frequency-volume chart, and measurement of residual urine. Among the less relevant procedures, use of blood tests was reported more frequently by general practitioners, and use of x-rays and ultrasonography by gynaecologists. General practitioners preferred urine microscopy to urine culture. The opposite was true for the gynaecologists. 50% of the gynaecologists would prescribe oestrogens for the postmenopausal women, as against 25% of the general practitioners. Young women were instructed in pelvic floor exercises, incontinence pads were prescribed for elderly women.
139名全科医生和190名妇科医生回复了一份关于女性尿失禁的病例史调查问卷。报告更频繁使用漏尿激发试验、神经学检查、频率-尿量图表以及残余尿量测量的妇科医生比全科医生更多。在相关性较低的检查中,全科医生报告血液检查的使用更频繁,而妇科医生报告X光和超声检查的使用更频繁。全科医生更倾向于尿显微镜检查而非尿培养。妇科医生的情况则相反。50%的妇科医生会为绝经后女性开雌激素,而全科医生中这一比例为25%。年轻女性接受了盆底肌锻炼指导,老年女性则被开了失禁垫。