Grennan D M, Karetai M, Palmer D G
N Z Med J. 1977 Aug 10;86(593):130-2.
The drug therapy prescribed for a group of 50 patients with rheumatoid arthritis in Otago prior to specialist referral was examined. Thirty-two patients were receiving some first-line anti-inflammatory drugs and six were receiving no therapy at the time of their first hospital clinic visit. Salicylates had been prescribed first in only 16 of the 50 patients while this drug had been withdrawn because of side effects in about one-third of the patients who had been treated with it prior to specialist referral. Seven patients had received phenylbutazone and six corticosteroids as the first treatment for their rheumatoid arthritis. About one-third of the patients were receiving more than one anti-inflammatory drug at the time of their initial clinic visit.
对奥塔哥地区50名类风湿性关节炎患者在转诊至专科医生之前所开的药物治疗情况进行了检查。32名患者正在接受一些一线抗炎药物治疗,6名患者在首次到医院门诊就诊时未接受任何治疗。在这50名患者中,只有16名患者首先被开了水杨酸盐类药物,而在转诊至专科医生之前接受过该药物治疗的患者中,约三分之一因副作用而停用了该药物。7名患者接受过保泰松治疗,6名患者接受过皮质类固醇作为类风湿性关节炎的首次治疗。约三分之一的患者在首次门诊就诊时正在接受不止一种抗炎药物治疗。