Muris J W, Starmans R, Fijten G H, Crebolder H F, Krebber T F, Knottnerus J A
Department of General Practice, University of Limburg, Maastricht, The Netherlands.
Fam Pract. 1993 Dec;10(4):387-90. doi: 10.1093/fampra/10.4.387.
Five hundred and seventy-eight consecutive cases of non-acute abdominal pain presenting to 11 general practices were included in a descriptive study and were followed during 15 months. Females predominated in the younger age groups. Eighty per cent of these patients visited their GP not more than three times for abdominal complaints during the follow-up period. Eighty-three per cent were managed entirely in the practice and 64% received a prescription. Only 20% of patients were additionally investigated in any way by the GP. There were hardly any differences in final diagnoses between patients who had complaints less than 1 week or more than 1 week before presenting to the GP. Non-acute abdominal pain is a condition that is seen and managed mainly in general practice.
一项描述性研究纳入了连续就诊于11家普通诊所的578例非急性腹痛患者,并对其进行了15个月的随访。在较年轻的年龄组中女性占多数。在随访期间,这些患者中80%因腹部不适看全科医生的次数不超过三次。83%的患者完全在诊所得到治疗,64%的患者接受了处方治疗。只有20%的患者由全科医生进行了额外的任何形式的检查。在就诊于全科医生之前腹痛少于1周或多于1周的患者之间,最终诊断几乎没有差异。非急性腹痛是一种主要在普通诊所诊治的疾病。