Bellamy N, Gilbert J R, Brooks P M, Emmerson B T, Campbell J
University of Western Ontario, London, Canada.
J Rheumatol. 1988 Dec;15(12):1841-7.
We recently conducted a cross-sectional survey of the prescribing practices of rheumatologists and a random sample of family physicians. While in general there was agreement as to the preferred management of gout, family physicians were (a) more likely to use phenylbutazone, (b) more liberal in their use of allopurinol, (c) less likely to cover the introduction of allopurinol with antiinflammatory agents or to titrate the dose against the serum uric acid, or to adjust the dose according to the serum creatinine. A small number of physicians continued to routinely use urate lowering drugs in the treatment of entirely asymptomatic hyperuricemia.
我们最近对风湿病专家的处方行为以及随机抽取的家庭医生样本进行了一项横断面调查。虽然总体上对于痛风的首选治疗方法存在共识，但家庭医生（a）更有可能使用保泰松，（b）在使用别嘌醇方面更为随意，（c）在开始使用别嘌醇时联用抗炎药或根据血清尿酸调整剂量，或根据血清肌酐调整剂量的可能性较小。少数医生在治疗完全无症状的高尿酸血症时仍常规使用降尿酸药物。
