Waller D G, Smith A G
Br Med J (Clin Res Ed). 1987 Jan 10;294(6564):94-6. doi: 10.1136/bmj.294.6564.94.
In response to a postal questionnaire general practitioners in the Southampton and New Forest area indicated a considerable understanding of the principles of iron prescribing and use of laboratory tests to determine iron deficiency. Many respondents, however, chose slow release and compound iron preparations as first treatments for iron deficiency. The role of parenteral iron appeared to be poorly understood. The use of and response to laboratory investigations for iron deficiency were generally appropriate, but many practitioners probably do not check for a response to oral iron sufficiently early during treatment or stop prescribing supplements before iron stores have been replenished. There is scope for further education in the biology and management of iron deficiency in general practice.
针对一份邮寄问卷调查,南安普敦和新森林地区的全科医生表示对铁剂处方原则以及利用实验室检测来确定缺铁情况有相当的了解。然而,许多受访者选择缓释铁剂和复合铁制剂作为缺铁的首选治疗方法。肠胃外铁剂的作用似乎未得到充分理解。对缺铁进行实验室检查的应用和反应总体上是恰当的,但许多从业者可能在治疗过程中没有足够早地检查口服铁剂的反应,或者在铁储备得到补充之前就停止开补充剂了。在全科医疗中,关于缺铁的生物学和管理方面仍有进一步教育的空间。