Barlow D H, Brockie J A, Rees C M
Nuffield Department of Obstetrics and Gynaecology, University of Oxford, John Radcliffe Maternity Hospital, Headington.
BMJ. 1991 Feb 2;302(6771):274-6. doi: 10.1136/bmj.302.6771.274.
To investigate the nature of work related to the menopause in general practice.
Questionnaire study over six months among general practitioners after each consultation with a woman aged 40-69 at which issues related to the climacteric had been discussed.
9 General practices in the Oxford area.
416 Women who had 572 consultations.
Age, menopausal state, and first or subsequent consultation. Symptoms were classified together with the treatment and the outcome of the consultation.
The consultation rate varied greatly between practices, the overall rate being 4.4%. There were many premenopausal women and women in their 60s presenting; women with hysterectomies presented more often--36% (37/103) of women with hysterectomies had more than one consultation compared with 26% (38/144) for premenopausal women and 24% (38/155) for postmenopausal women. 409 women had symptoms and 218 were prescribed oestrogen treatment. 156 of the consultations involved discussion and advice only. Only four women were referred to a local specialist clinic.
There is a low overall use of hormone replacement therapy in the general postmenopausal population despite the recent media coverage of its benefits in the prevention of osteoporosis and subsequent fractures.
调查全科医疗中与更年期相关的工作性质。
在牛津地区的9家全科诊所，对全科医生在每次与40 - 69岁女性进行咨询且讨论了更年期相关问题后的六个月内进行问卷调查研究。
牛津地区的9家全科诊所。
416名女性，共进行了572次咨询。
年龄、更年期状态、首次或后续咨询。症状与治疗及咨询结果一同分类。
各诊所的咨询率差异很大，总体咨询率为4.4%。有许多绝经前女性和60多岁的女性前来咨询；接受子宫切除术的女性咨询更为频繁——接受子宫切除术的女性中有36%（37/103）进行了不止一次咨询，而绝经前女性为26%（38/144），绝经后女性为24%（38/155）。409名女性有症状，218名女性接受了雌激素治疗。156次咨询仅涉及讨论和建议。只有4名女性被转诊至当地专科诊所。
尽管近期媒体报道了激素替代疗法在预防骨质疏松症及后续骨折方面的益处，但绝经后普通人群中激素替代疗法的总体使用率较低。
