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全科医疗中尿频和排尿困难诊断与管理的临床判断

Clinical judgment in the diagnosis and management of frequency and dysuria in general practice.

作者信息

O'Dowd T C, Smail J E, West R R

出版信息

Br Med J (Clin Res Ed). 1984 May 5;288(6427):1347-9. doi: 10.1136/bmj.288.6427.1347.

DOI:10.1136/bmj.288.6427.1347
PMID:6424853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1440991/
Abstract

In a study of 40 women with the urethral syndrome and 46 women with conventional urinary tract infection, none of whom was pregnant, general practitioners predicted the diagnosis correctly before the report on the midstream urine specimen was received, as evidenced by their management. They seemed to do this by balancing the symptom of dysuria with the psychological make up of the patient: patients with the urethral syndrome suffered appreciably less dysuria than patients with urinary tract infection; patients with the urethral syndrome suffered appreciably more psychological illness. This ability to distinguish between the two disorders has important clinical and economic implications.

摘要

在一项针对40名患有尿道综合征的女性和46名患有传统尿路感染的女性(均未怀孕)的研究中,全科医生在收到中段尿标本报告之前就正确地做出了诊断,这从他们的处理方式中可以得到证明。他们似乎是通过权衡排尿困难症状与患者的心理构成来做到这一点的:患有尿道综合征的患者排尿困难明显少于患有尿路感染的患者;患有尿道综合征的患者心理疾病明显更多。这种区分这两种疾病的能力具有重要的临床和经济意义。

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Clinical judgment in the diagnosis and management of frequency and dysuria in general practice.全科医疗中尿频和排尿困难诊断与管理的临床判断
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Frequency and dysuria in women; the tip of an iceberg.女性的尿频和排尿困难;冰山一角。
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Causes of the acute urethral syndrome in women.女性急性尿道综合征的病因。
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引用本文的文献

1
Does clinical examination aid in the diagnosis of urinary tract infections in women? A systematic review and meta-analysis.临床检查有助于女性尿路感染的诊断吗?系统评价和荟萃分析。
BMC Fam Pract. 2011 Oct 10;12:111. doi: 10.1186/1471-2296-12-111.
2
Frequency/Dysuria syndrome in young women.年轻女性的尿频/排尿困难综合征
Can Fam Physician. 1988 Sep;34:1891-4.
3
Decision making by general practitioners in diagnosis and management of lower urinary tract symptoms in women.全科医生对女性下尿路症状的诊断和管理决策
BMJ. 1993 Apr 24;306(6885):1103-6. doi: 10.1136/bmj.306.6885.1103.
4
The irritable urethral syndrome: discussion.尿道综合征:讨论
J R Coll Gen Pract. 1985 Mar;35(272):140-1.
5
Harvard Davis lecture 1986. General practice and the unity of clinical medicine.1986年哈佛·戴维斯讲座。全科医疗与临床医学的统一
J R Coll Gen Pract. 1987 May;37(298):196-8.
6
Aetiology of urinary symptoms in sexually active women.性活跃女性泌尿系统症状的病因
Genitourin Med. 1986 Oct;62(5):333-41. doi: 10.1136/sti.62.5.333.
7
Relationship of urinary pH to symptoms of 'cystitis'.尿液pH值与“膀胱炎”症状的关系。
Postgrad Med J. 1990 Sep;66(779):727-9. doi: 10.1136/pgmj.66.779.727.
8
The management of suspected urinary tract infection in general practice.全科医疗中疑似尿路感染的管理
Br J Gen Pract. 1990 Oct;40(339):399-401.
9
The reported prevalence of urinary symptoms in women in one rural general practice.一项乡村全科医疗中女性泌尿系统症状的报告患病率。
Br J Gen Pract. 1990 Aug;40(337):335-7.
10
Factors associated with regular episodes of dysuria among women in one rural general practice.在一个乡村全科医疗诊所中,与女性规律性排尿困难发作相关的因素。
Br J Gen Pract. 1991 Jun;41(347):241-3.